45D2128632 CLIA NUMBER - JASPER COUNTY URGENT CARE

Laboratory Demographics

  • CLIA Code: 45D2128632
  • Facility Name: JASPER COUNTY URGENT CARE
  • Facility Address: 494 SPRINGHILL ST, SUITE 100
    JASPER, TX
    ZIP 75951
  • Facility Phone: 409 224-3586
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DIANNA V. BELAIRE
  • NPI Number: 1972038503
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2128632
LAB Type Other - URGENT CARE
Facility Name JASPER COUNTY URGENT CARE
Street 494 SPRINGHILL ST, SUITE 100
City JASPER
State TX
ZIP 75951
Phone 409 224-3586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Other - URGENT CARE
Lab Director DIANNA V. BELAIRE

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