CLIA lab
CLIA 45D2172411: Memorial Medical Clinic Hospital Campus
Port Lavaca, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2172411 belongs to Memorial Medical Clinic Hospital Campus in Port Lavaca, TX.
Certificate of Waiver, effective September 23, 2025, expires September 22, 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
- September 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 2019
- Facility type
- Rural health clinic
- 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
- 45D2172411
- Lab name
- Memorial Medical Clinic Hospital Campus
- Address
- 815 N Virginia Street, Floor 2, Port Lavaca, TX 77979
- Phone
- (361) 552-0379
- Fax
- (361) 500-6904
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Memorial Medical CenterCertificate of Compliance, Hospital45D0054055
- Memorial Medical ClinicCertificate of Waiver, Physician office45D2054209
- Memorial Medical Clinic LaboratoryCertificate of Compliance, Rural health clinic45D2099521
Related
Questions
What is the CLIA number for Memorial Medical Clinic Hospital Campus in Port Lavaca?
45D2172411, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Medical Clinic Hospital Campus hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2172411 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.