45D2301135 CLIA NUMBER - BEAUMONT ELITE URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 45D2301135
  • Facility Name: BEAUMONT ELITE URGENT CARE LLC
  • Facility Address: 3565 COLLEGE STREET
    BEAUMONT, TX
    ZIP 77701
  • Facility Phone: 409 345-3565
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: CAMALLA CLEMENT
  • NPI Number: 1417980921
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Other - URGENT CARE
Lab Director CAMALLA CLEMENT

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