45D2274731 CLIA NUMBER - COASTAL GATEWAY HEALTH CENTER, INC

Laboratory Demographics

  • CLIA Code: 45D2274731
  • Facility Name: COASTAL GATEWAY HEALTH CENTER, INC
  • Facility Address: 2584 SH 124
    WINNIE, TX
    ZIP 77665
  • Facility Phone: 409 296-4444
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL LYONS
  • NPI Number: 1033832167
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2274731
LAB Type Community Clinic
Facility Name COASTAL GATEWAY HEALTH CENTER, INC
Street 2584 SH 124
City WINNIE
State TX
ZIP 77665
Phone 409 296-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Community Clinic
Lab Director MICHAEL LYONS

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This page was last updated on: 6/4/2025