45D2292458 CLIA NUMBER - BRENT MAINWARING, MD, PA

Laboratory Demographics

  • CLIA Code: 45D2292458
  • Facility Name: BRENT MAINWARING, MD, PA
  • Facility Address: 3405 COLLEGE ST
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 832-2211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENT LEE MAINWARING
  • NPI Number: 1023050341
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2292458
LAB Type Physician Office
Facility Name BRENT MAINWARING, MD, PA
Street 3405 COLLEGE ST
City BEAUMONT
State TX
ZIP 77701
Phone 409 832-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director BRENT LEE MAINWARING

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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