45D2253306 CLIA NUMBER - MYBODY WELLNESS & LABORATORY

Laboratory Demographics

  • CLIA Code: 45D2253306
  • Facility Name: MYBODY WELLNESS & LABORATORY
  • Facility Address: 3480 FANNIN ST, SUITE H
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 242-0886
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ZANDRA B. WALKER
  • NPI Number: 1497549935
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2253306
LAB Type Independent
Facility Name MYBODY WELLNESS & LABORATORY
Street 3480 FANNIN ST, SUITE H
City BEAUMONT
State TX
ZIP 77701
Phone 409 242-0886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Independent
Lab Director ZANDRA B. WALKER

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