45D2302046 CLIA NUMBER - BOUTTE FAMILY PRACTICE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2302046
  • Facility Name: BOUTTE FAMILY PRACTICE, PLLC
  • Facility Address: 233 SPUR 5
    WINNIE, TX
    ZIP 77665
  • Facility Phone: (409) 296-2910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEDRANA BOUTTE
  • NPI Number: 1770347031
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2302046
LAB Type Physician Office
Facility Name BOUTTE FAMILY PRACTICE, PLLC
Street 233 SPUR 5
City WINNIE
State TX
ZIP 77665
Phone 4092962910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2026
Certificate Expiration Date 4/2/2028
Facility Type Physician Office
Lab Director NEDRANA BOUTTE

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This page was last updated on: 5/18/2026