45D2141238 CLIA NUMBER - BEVERLY ADVANCED PRACTICE NURSING DBA THE BEVERLY CLINIC

Laboratory Demographics

  • CLIA Code: 45D2141238
  • Facility Name: BEVERLY ADVANCED PRACTICE NURSING DBA THE BEVERLY CLINIC
  • Facility Address: 602 E METHVIN STREET
    LONGVIEW, TX
    ZIP 75601
  • Facility Phone: 903 212-7788
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DAYTRAL M. BROWN
  • NPI Number: 1609382209
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2141238
LAB Type Community Clinic
Facility Name BEVERLY ADVANCED PRACTICE NURSING DBA THE BEVERLY CLINIC
Street 602 E METHVIN STREET
City LONGVIEW
State TX
ZIP 75601
Phone 903 212-7788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Community Clinic
Lab Director DAYTRAL M. BROWN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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