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CLIA 45D2272404: Utmb Lake Jackson Specialties Clinic
Lake Jackson, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2272404 belongs to Utmb Lake Jackson Specialties Clinic in Lake Jackson, TX.
Certificate of Waiver, effective November 21, 2024, expires November 20, 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
- November 21, 2024
- Certificate expiration
- November 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 21, 2022
- Facility type
- Community clinic
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Lab and contact
- CLIA number
- 45D2272404
- Lab name
- Utmb Lake Jackson Specialties Clinic
- Address
- 215 Oak Drive S, Suite B, Lake Jackson, TX 77566
- Phone
- (979) 848-9111
- Fax
- (979) 849-1806
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.
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- 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
- Baylor ST Luke's Medical Group Lake Road FMCCertificate of Waiver, Other45D2091279
- 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
Related
Questions
What is the CLIA number for Utmb Lake Jackson Specialties Clinic in Lake Jackson?
45D2272404, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Utmb Lake Jackson Specialties Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2272404 expire?
The CMS file lists November 20, 2026 as the certificate expiration date; the certificate took effect November 21, 2024.
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Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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