45D2234681 CLIA NUMBER - COMPLETE HEALTH CARE CLINIC

Laboratory Demographics

  • CLIA Code: 45D2234681
  • Facility Name: COMPLETE HEALTH CARE CLINIC
  • Facility Address: 2933 PARK PLAZA LANE
    PORT ARTHUR, TX
    ZIP 77642
  • Facility Phone: 409 983-1899
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CONNIE D. JOHNSON-WILTZ
  • NPI Number: 1316610017
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2234681
LAB Type Practitioner Other
Facility Name COMPLETE HEALTH CARE CLINIC
Street 2933 PARK PLAZA LANE
City PORT ARTHUR
State TX
ZIP 77642
Phone 409 983-1899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Practitioner Other
Lab Director CONNIE D. JOHNSON-WILTZ

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