CLIA lab

CLIA 45D2026404: Baylor ST Luke's Medical Group Lake Jackson FMC

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

CLIA number 45D2026404 belongs to Baylor ST Luke's Medical Group Lake Jackson FMC in Lake Jackson, TX.

Certificate of Waiver, effective June 30, 2025, expires June 29, 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
June 30, 2025
Certificate expiration
June 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 30, 2011
Facility type
Other
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D2026404
Lab name
Baylor ST Luke's Medical Group Lake Jackson FMC
Address
208 Oak Drive South, Suite 200, Lake Jackson, TX 77566
Phone
(979) 285-3633
Fax
(979) 285-3626

Annual test volume the lab reported

Waived tests
5,000

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

Affiliated CLIA numbers

Other labs in Lake Jackson, TX

Related

Questions

What is the CLIA number for Baylor ST Luke's Medical Group Lake Jackson FMC in Lake Jackson?

45D2026404, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Baylor ST Luke's Medical Group Lake Jackson FMC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2026404 expire?

The CMS file lists June 29, 2027 as the certificate expiration date; the certificate took effect June 30, 2025.

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