CLIA lab
CLIA 45D2091279: Baylor ST Luke's Medical Group Lake Road FMC
Lake Jackson, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2091279 belongs to Baylor ST Luke's Medical Group Lake Road FMC in Lake Jackson, TX.
Certificate of Waiver, effective February 10, 2025, expires February 9, 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 Waiver
- Certificate effective
- February 10, 2025
- Certificate expiration
- February 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2015
- Facility type
- Other
- 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
- 45D2091279
- Lab name
- Baylor ST Luke's Medical Group Lake Road FMC
- Address
- 210 Lake Road B-300, Lake Jackson, TX 77566
- Phone
- (979) 285-9455
- Fax
- (979) 285-9479
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.
Other labs in Lake Jackson, TX
- Alkesh C Amin MD PACertificate of Waiver, Physician office45D0942165
- Altus Lake Jackson, LPCertificate of Compliance, Other45D2069850
- Ark HealthCertificate of Waiver, Physician office45D2272537
- Atkins Health, PLLCCertificate of Waiver, Physician office45D2321867
- Baylor ST Luke's Medical Group Brazosport UrologyCertificate of Waiver, Physician office45D2140145
- Baylor ST Luke's Medical Group Lake Jackson FMCCertificate of Waiver, Other45D2026404
- Bottenfield Pediatric AssociatesCertificate of Waiver, Physician office45D2173530
- Bottenfield Pediatric AssociatesCertificate of Waiver, Physician office45D2173531
- Brazoria County Dialysis, LLPCertificate of Waiver, End stage renal disease dialysis facility45D2016988
- Brazos Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility45D0898821
Related
Questions
What is the CLIA number for Baylor ST Luke's Medical Group Lake Road FMC in Lake Jackson?
45D2091279, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baylor ST Luke's Medical Group Lake Road FMC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2091279 expire?
The CMS file lists February 9, 2027 as the certificate expiration date; the certificate took effect February 10, 2025.