CLIA lab
CLIA 45D0989254: Bridgeport Medical Lodge
Bridgeport, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D0989254 belongs to Bridgeport Medical Lodge in Bridgeport, TX.
Certificate of Waiver, effective July 20, 2025, expires July 19, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 20, 2025
- Certificate expiration
- July 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 20, 2001
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D0989254
- Lab name
- Bridgeport Medical Lodge
- Address
- 2108 15th Street, Bridgeport, TX 76426
- Phone
- (940) 683-5023
- Fax
- (940) 239-6775
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Bridgeport Medical LodgeCMS Care Compare ratings for the facility at the same street address
Other labs in Bridgeport, TX
- Be Well Primary Care MedicineCertificate of Accreditation, Physician office45D2318004
- Gail's PharmacyCertificate of Waiver, Pharmacy45D2155741
- Nobility Medical, PLLCCertificate of Waiver, Physician office45D2180843
- Premier Independent Physicians of BridgeportCertificate of Waiver, Physician office45D2302273
- Valu-Rite PharmacyCertificate of Waiver, Pharmacy45D2141416
- Walgreens #21463Certificate of Waiver, Pharmacy45D2021977
Related
Questions
What is the CLIA number for Bridgeport Medical Lodge in Bridgeport?
45D0989254, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bridgeport Medical Lodge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D0989254 expire?
The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.