45D2145711 CLIA NUMBER - 11817 LANDRUM INC DBA CONNECTED PATH RECOVERY

Laboratory Demographics

  • CLIA Code: 45D2145711
  • Facility Name: 11817 LANDRUM INC DBA CONNECTED PATH RECOVERY
  • Facility Address: 1505 CORNERSTONE COURT
    BEAUMONT, TX
    ZIP 77706
  • Facility Phone: 409 299-8555
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KIM D. ARRINGTON
  • NPI Number: 1457822538
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2145711
LAB Type Practitioner Other
Facility Name 11817 LANDRUM INC DBA CONNECTED PATH RECOVERY
Street 1505 CORNERSTONE COURT
City BEAUMONT
State TX
ZIP 77706
Phone 409 299-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Practitioner Other
Lab Director KIM D. ARRINGTON

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