45D2301135 CLIA NUMBER - BEAUMONT ELITE URGENT CARE LLC

Laboratory Demographics

CLIA Number: 45D2301135

Facility Name: BEAUMONT ELITE URGENT CARE LLC

Facility Address:
3565 COLLEGE STREET
BEAUMONT, TX
ZIP 77701
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Facility Phone Number: 409 345-3565

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1417980921

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	45D2301135
LAB Type	Other - URGENT CARE
Facility Name	BEAUMONT ELITE URGENT CARE LLC
Street	3565 COLLEGE STREET
City	BEAUMONT
State	TX
ZIP	77701
Phone	409 345-3565
CertificateType	4
CertificateEffectiveDate	3/21/2024
CertificateExpirationDate	3/20/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024