CLIA lab
CLIA 45D0054055: Memorial Medical Center
Port Lavaca, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D0054055 belongs to Memorial Medical Center in Port Lavaca, TX.
Certificate of Compliance, effective April 12, 2025, expires April 11, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- April 12, 2025
- Certificate expiration
- April 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D0054055
- Lab name
- Memorial Medical Center
- Address
- 815 Virginia N Street, Port Lavaca, TX 77979
- Phone
- (361) 552-0284
- Fax
- (361) 552-0285
Annual test volume the lab reported
- Waived tests
- 10,443
- Other nonwaived tests
- 278,792
- Total
- 289,235
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Port Lavaca, TX
- 102 Burnet StreetCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities45D2198091
- Calhoun County EMSCertificate of Waiver, Other45D0934357
- Calhoun County JailCertificate of Waiver, Other45D2091085
- Calhoun Home Health, LLCCertificate of Waiver, Home health agency45D2020549
- Heb Pharmacy #434Certificate of Waiver, Pharmacy45D1072752
- Ineos NitrilesCertificate of Waiver, Other45D2154331
- Lavaca Bay Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility45D2179810
- Memorial Medical ClinicCertificate of Waiver, Physician office45D2054209
- Memorial Medical Clinic Hospital CampusCertificate of Waiver, Rural health clinic45D2172411
- Memorial Medical Clinic LaboratoryCertificate of Compliance, Rural health clinic45D2099521
Related
Questions
What is the CLIA number for Memorial Medical Center in Port Lavaca?
45D0054055, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Medical Center hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 45D0054055 expire?
The CMS file lists April 11, 2027 as the certificate expiration date; the certificate took effect April 12, 2025.