45D2088362 CLIA NUMBER - DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC

Laboratory Demographics

  • CLIA Code: 45D2088362
  • Facility Name: DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC
  • Facility Address: 2200 HWY 365
    NEDERLAND, TX
    ZIP 77627
  • Facility Phone: 409 730-2022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH STOUT
  • NPI Number: 1427413723
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2088362
LAB Type Physician Office
Facility Name DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC
Street 2200 HWY 365
City NEDERLAND
State TX
ZIP 77627
Phone 409 730-2022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director KEITH STOUT

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This page was last updated on: 9/29/2025