CLIA lab
CLIA 45D2198091: 102 Burnet Street
Port Lavaca, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2198091 belongs to 102 Burnet Street in Port Lavaca, TX.
Certificate of Waiver, effective October 29, 2024, expires October 28, 2026.
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
- October 29, 2024
- Certificate expiration
- October 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 29, 2020
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 45D2198091
- Lab name
- 102 Burnet Street
- Address
- 102 Burnet Street, Port Lavaca, TX 77979
- Phone
- (361) 579-0515
Annual test volume the lab reported
- Waived tests
- 70
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ineos NitrilesCertificate of Waiver, Other45D2154331
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- Memorial Medical CenterCertificate of Compliance, Hospital45D0054055
- Memorial Medical ClinicCertificate of Waiver, Physician office45D2054209
- 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 102 Burnet Street in Port Lavaca?
45D2198091, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 102 Burnet Street hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2198091 expire?
The CMS file lists October 28, 2026 as the certificate expiration date; the certificate took effect October 29, 2024.