45D2276519 CLIA NUMBER - MEDPLUS HEALTHCARE PLLC

Laboratory Demographics

  • CLIA Code: 45D2276519
  • Facility Name: MEDPLUS HEALTHCARE PLLC
  • Facility Address: 3015 NEDERLAND AVENUE, SUITE B
    NEDERLAND, TX
    ZIP 77627
  • Facility Phone: 409 359-8105
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WAYLON C. BERGERON
  • NPI Number: 1033853593
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2276519
LAB Type Practitioner Other
Facility Name MEDPLUS HEALTHCARE PLLC
Street 3015 NEDERLAND AVENUE, SUITE B
City NEDERLAND
State TX
ZIP 77627
Phone 409 359-8105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Practitioner Other
Lab Director WAYLON C. BERGERON

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