45D0499181 CLIA NUMBER - ILDEFONZO FLORES MD

Laboratory Demographics

  • CLIA Code: 45D0499181
  • Facility Name: ILDEFONZO FLORES MD
  • Facility Address: 1520 E SAN PEDRO SUITE 101
    LAREDO, TX
    ZIP 78041
  • Facility Phone: 956 724-1698
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ILDEFONZO FLORES
  • NPI Number: 1205867595
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0499181
LAB Type Physician Office
Facility Name ILDEFONZO FLORES MD
Street 1520 E SAN PEDRO SUITE 101
City LAREDO
State TX
ZIP 78041
Phone 956 724-1698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ILDEFONZO FLORES

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This page was last updated on: 9/29/2025