45D2218048 CLIA NUMBER - MEDICAL UNITED FOUNDATION, INC

Laboratory Demographics

CLIA Number: 45D2218048

Facility Name: MEDICAL UNITED FOUNDATION, INC

Facility Address:
3610 STAGG DRIVE
BEAUMONT, TX
ZIP 77701
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Facility Phone Number: 409 923-0012

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720675648

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 45D2218048
LAB Type Physician Office
Facility Name MEDICAL UNITED FOUNDATION, INC
Street 3610 STAGG DRIVE
City BEAUMONT
State TX
ZIP 77701
Phone 409 923-0012
CertificateType 4
CertificateEffectiveDate 3/25/2023
CertificateExpirationDate 3/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024