CLIA lab
CLIA 45D2280601: Mychn Lake Jackson
Lake Jackson, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2280601 belongs to Mychn Lake Jackson in Lake Jackson, TX.
Certificate of Waiver, effective April 21, 2025, expires April 20, 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 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 2023
- Facility type
- Federally qualified health center
- Ownership (control type)
- Government, other
- 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
- 45D2280601
- Lab name
- Mychn Lake Jackson
- Address
- 120 Flag Lake Dr Ste 2, Lake Jackson, TX 77566
- Phone
- (281) 824-1480
- Fax
- (281) 220-6407
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Jackson, TX
- Alkesh C Amin MD PACertificate of Waiver, Physician office45D0942165
- 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 Mychn Lake Jackson in Lake Jackson?
45D2280601, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mychn Lake Jackson hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2280601 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.