45D0503365 CLIA NUMBER - ERNESTO TREVINO MD

Laboratory Demographics

  • CLIA Code: 45D0503365
  • Facility Name: ERNESTO TREVINO MD
  • Facility Address: 4208 N 23RD ST
    MC ALLEN, TX
    ZIP 78504
  • Facility Phone: 210 682-4264
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director:
  • NPI Number: 1891780185
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0503365
LAB Type Physician Office
Facility Name ERNESTO TREVINO MD
Street 4208 N 23RD ST
City MC ALLEN
State TX
ZIP 78504
Phone 210 682-4264
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

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