45D2110807 CLIA NUMBER - MED SOUTHWEST, PLLC

Laboratory Demographics

  • CLIA Code: 45D2110807
  • Facility Name: MED SOUTHWEST, PLLC
  • Facility Address: 6725 DELAWARE STREET
    BEAUMONT, TX
    ZIP 77706
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1558900373
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2110807
LAB Type Physician Office
Facility Name MED SOUTHWEST, PLLC
Street 6725 DELAWARE STREET
City BEAUMONT
State TX
ZIP 77706
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

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