45D2111702 CLIA NUMBER - ADA LIVING CENTER

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Field Name	Field Value
CLIA Number	45D2111702
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	ADA LIVING CENTER
Street	5010 ADA STREET
City	BEAUMONT
State	TX
ZIP	77708
Phone	409 832-4112
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/13/2024
Certificate Expiration Date	4/12/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	LAWTRICE D. BUDWINE

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