45D2094632 CLIA NUMBER - RICKY L EVANS MD PA

Laboratory Demographics

  • CLIA Code: 45D2094632
  • Facility Name: RICKY L EVANS MD PA
  • Facility Address: 740 HOSPITAL DRIVE, SUITE 250
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 212-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICKY EVANS
  • NPI Number: 1568482255
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2094632
LAB Type Physician Office
Facility Name RICKY L EVANS MD PA
Street 740 HOSPITAL DRIVE, SUITE 250
City BEAUMONT
State TX
ZIP 77701
Phone 409 212-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director RICKY EVANS

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