45D2325347 CLIA NUMBER - EAST BERNARD PRIMEMED CLINIC,LLC

Laboratory Demographics

  • CLIA Code: 45D2325347
  • Facility Name: EAST BERNARD PRIMEMED CLINIC,LLC
  • Facility Address: 876 S DILL ST
    EAST BERNARD, TX
    ZIP 77435
  • Facility Phone: 979 217-7758
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IOLANI MAE AVES
  • NPI Number: 1346033032
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2325347
LAB Type Physician Office
Facility Name EAST BERNARD PRIMEMED CLINIC,LLC
Street 876 S DILL ST
City EAST BERNARD
State TX
ZIP 77435
Phone 979 217-7758
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director IOLANI MAE AVES

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