45D2206847 CLIA NUMBER - ETX MEDICAL GROUP, PLLC DBA EASTEX URGENT CARE

Laboratory Demographics

  • CLIA Code: 45D2206847
  • Facility Name: ETX MEDICAL GROUP, PLLC DBA EASTEX URGENT CARE
  • Facility Address: 4310 DOWLEN ROAD, SUITE # 16
    BEAUMONT, TX
    ZIP 77706
  • Facility Phone: 409 299-4448
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WILLIAM S. BURKES
  • NPI Number: 1629669684
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2206847
LAB Type Practitioner Other
Facility Name ETX MEDICAL GROUP, PLLC DBA EASTEX URGENT CARE
Street 4310 DOWLEN ROAD, SUITE # 16
City BEAUMONT
State TX
ZIP 77706
Phone 409 299-4448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Practitioner Other
Lab Director WILLIAM S. BURKES

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