45D2217832 CLIA NUMBER - SARAH DUBOSE, APRN, PLLC

Laboratory Demographics

  • CLIA Code: 45D2217832
  • Facility Name: SARAH DUBOSE, APRN, PLLC
  • Facility Address: 3220 CENTRAL MALL DR
    PORT ARTHUR, TX
    ZIP 77642
  • Facility Phone: 409 729-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH D. DUBOSE
  • NPI Number: 1083072219
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2217832
LAB Type Physician Office
Facility Name SARAH DUBOSE, APRN, PLLC
Street 3220 CENTRAL MALL DR
City PORT ARTHUR
State TX
ZIP 77642
Phone 409 729-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director SARAH D. DUBOSE

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