45D2194590 CLIA NUMBER - COLLIER PARK

Laboratory Demographics

  • CLIA Code: 45D2194590
  • Facility Name: COLLIER PARK
  • Facility Address: 4650 COLLIER
    BEAUMONT, TX
    ZIP 77706
  • Facility Phone: (409) 899-4800
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: VICKI LEE KING
  • NPI Number: 1306140207
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2194590
LAB Type Assisted Living Facility
Facility Name COLLIER PARK
Street 4650 COLLIER
City BEAUMONT
State TX
ZIP 77706
Phone 4098994800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Assisted Living Facility
Lab Director VICKI LEE KING

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This page was last updated on: 5/15/2026