45D0503850 CLIA NUMBER - SU CLINICA

Laboratory Demographics

  • CLIA Code: 45D0503850
  • Facility Name: SU CLINICA
  • Facility Address: 131 FM RD 3168
    RAYMONDVILLE, TX
    ZIP 78580
  • Facility Phone: 210 689-2196
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: VALENTIN LOPEZ
  • NPI Number: 1871516807
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0503850
LAB Type Community Clinic
Facility Name SU CLINICA
Street 131 FM RD 3168
City RAYMONDVILLE
State TX
ZIP 78580
Phone 210 689-2196
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Community Clinic
Lab Director VALENTIN LOPEZ

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