45D2309362 CLIA NUMBER - CHRISTUS TRINITY CLINIC-UROLOGY

Laboratory Demographics

  • CLIA Code: 45D2309362
  • Facility Name: CHRISTUS TRINITY CLINIC-UROLOGY
  • Facility Address: 755 N 11TH STREET, P3200
    BEAUMONT, TX
    ZIP 77702
  • Facility Phone: 409 899-4111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRY MAMEROW
  • NPI Number: 1932334125
  • Taxonomy: 282E00000X - Long Term Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2309362
LAB Type Physician Office
Facility Name CHRISTUS TRINITY CLINIC-UROLOGY
Street 755 N 11TH STREET, P3200
City BEAUMONT
State TX
ZIP 77702
Phone 409 899-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director TERRY MAMEROW

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