CLIA lab
CLIA 45D2113006: Kahtan A Kaissi MD
Nederland, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2113006 belongs to Kahtan A Kaissi MD in Nederland, TX.
Certificate of Waiver, effective May 13, 2026, expires May 12, 2028.
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
- May 13, 2026
- Certificate expiration
- May 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 2016
- Facility type
- Physician office
- 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
- 45D2113006
- Lab name
- Kahtan A Kaissi MD
- Address
- 1300 Franklin Ave, Attn Clia Lab, Nederland, TX 77627
- Phone
- (409) 722-3437
- Fax
- (409) 722-1281
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Diagnostic Group Integrated HealthcareCertificate of Waiver, Physician office45D2088362
- Disa Global Solutions OccupationalCertificate of Waiver, Other45D2081866
- Faulk Family HealthcareCertificate of Waiver, Other practitioner45D2073996
- John K Badlissi MDCertificate of Waiver, Physician office45D1090743
- John L Forsythe MD PACertificate of Waiver, Physician office45D1064071
- KR Wellness Solutions Pa-Mid CityCertificate of Waiver, Physician office45D2332022
- Leonard M Thome, MD PACertificate of Waiver, Physician office45D2066326
- Lifeline Urgent CareCertificate of Waiver, Physician office45D2345330
- Medplus Healthcare PLLCCertificate of Waiver, Other practitioner45D2276519
- Michael J Badlissi MD PACertificate of Waiver, Physician office45D2047703
Related
Questions
What is the CLIA number for Kahtan A Kaissi MD in Nederland?
45D2113006, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kahtan A Kaissi MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2113006 expire?
The CMS file lists May 12, 2028 as the certificate expiration date; the certificate took effect May 13, 2026.