CLIA lab

CLIA 45D2219082: Kelsey-Seybold Clinic/Lake Jackson Lab

Lake Jackson, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D2219082 belongs to Kelsey-Seybold Clinic/Lake Jackson Lab in Lake Jackson, TX.

Certificate of Waiver, effective April 1, 2025, expires March 31, 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
April 1, 2025
Certificate expiration
March 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 1, 2021
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
45D2219082
Lab name
Kelsey-Seybold Clinic/Lake Jackson Lab
Address
201 That Way, Lake Jackson, TX 77566
Phone
(713) 442-2100
Fax
(713) 442-0891

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lake Jackson, TX

Related

Questions

What is the CLIA number for Kelsey-Seybold Clinic/Lake Jackson Lab in Lake Jackson?

45D2219082, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kelsey-Seybold Clinic/Lake Jackson Lab hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2219082 expire?

The CMS file lists March 31, 2027 as the certificate expiration date; the certificate took effect April 1, 2025.

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