45D2094603 CLIA NUMBER - FAMILY ALLERGY & ASTHMA CENTER

Laboratory Demographics

  • CLIA Code: 45D2094603
  • Facility Name: FAMILY ALLERGY & ASTHMA CENTER
  • Facility Address: 205 N 11TH STREET
    BEAUMONT, TX
    ZIP 77702
  • Facility Phone: 409 892-7090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUSSELLL K. PERRY
  • NPI Number: 1194125161
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 45D2094603
LAB Type Physician Office
Facility Name FAMILY ALLERGY & ASTHMA CENTER
Street 205 N 11TH STREET
City BEAUMONT
State TX
ZIP 77702
Phone 409 892-7090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director RUSSELLL K. PERRY

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