45D2257789 CLIA NUMBER - SARAH STREET LLC

Laboratory Demographics

  • CLIA Code: 45D2257789
  • Facility Name: SARAH STREET LLC
  • Facility Address: 3455 SARAH STREET
    BEAUMONT, TX
    ZIP 77705
  • Facility Phone: 409 730-7040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TROY MARSAW
  • NPI Number: 1962094748
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 45D2257789
LAB Type Physician Office
Facility Name SARAH STREET LLC
Street 3455 SARAH STREET
City BEAUMONT
State TX
ZIP 77705
Phone 409 730-7040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director TROY MARSAW

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