CLIA lab

CLIA 45D1094591: MTC Medical Llc-Iah Polk Detention Center

Livingston, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D1094591 belongs to MTC Medical Llc-Iah Polk Detention Center in Livingston, TX.

Certificate of Waiver, effective January 22, 2025, expires January 21, 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
January 22, 2025
Certificate expiration
January 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2009
Facility type
Prison
Ownership (control type)
Private
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
45D1094591
Lab name
MTC Medical Llc-Iah Polk Detention Center
Address
3400 FM 350 South, Livingston, TX 77351
Phone
(936) 967-8000
Fax
(936) 967-8846

Annual test volume the lab reported

Waived tests
40

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for MTC Medical Llc-Iah Polk Detention Center in Livingston?

45D1094591, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does MTC Medical Llc-Iah Polk Detention Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D1094591 expire?

The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.

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