45D2330320 CLIA NUMBER - BEELINE HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 45D2330320
  • Facility Name: BEELINE HEALTH, PLLC
  • Facility Address: 305 W RUSK ST
    JACKSONVILLE, TX
    ZIP 75766
  • Facility Phone: 903 721-0112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERYL THOMPSON
  • NPI Number: 1316827504
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2330320
LAB Type Physician Office
Facility Name BEELINE HEALTH, PLLC
Street 305 W RUSK ST
City JACKSONVILLE
State TX
ZIP 75766
Phone 903 721-0112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director BERYL THOMPSON

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