CLIA lab
CLIA 45D2054209: Memorial Medical Clinic
Port Lavaca, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2054209 belongs to Memorial Medical Clinic in Port Lavaca, TX.
Certificate of Waiver, effective February 15, 2025, expires February 14, 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
- February 15, 2025
- Certificate expiration
- February 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 2013
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 45D2054209
- Lab name
- Memorial Medical Clinic
- Address
- 1016 N Virginia, Port Lavaca, TX 77979
- Phone
- (361) 552-0325
- Fax
- (361) 500-6904
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.
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- 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 CenterCertificate of Compliance, Hospital45D0054055
- 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 Clinic in Port Lavaca?
45D2054209, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2054209 expire?
The CMS file lists February 14, 2027 as the certificate expiration date; the certificate took effect February 15, 2025.