45D2105390 CLIA NUMBER - CHRISTUS TRINITY CLINIC

Laboratory Demographics

CLIA Number: 45D2105390

Facility Name: CHRISTUS TRINITY CLINIC

Facility Address:
4046 DOWLEN ROAD
BEAUMONT, TX
ZIP 77706
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Facility Phone Number: 409 236-3510

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588292684

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name Field Value
CLIA Number 45D2105390
LAB Type Physician Office
Facility Name CHRISTUS TRINITY CLINIC
Street 4046 DOWLEN ROAD
City BEAUMONT
State TX
ZIP 77706
Phone 409 236-3510
CertificateType 4
CertificateEffectiveDate 3/6/2023
CertificateExpirationDate 3/5/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024