45D0503853 CLIA NUMBER - MYCARE MEDICAL OF TEXAS, PLLC

Laboratory Demographics

  • CLIA Code: 45D0503853
  • Facility Name: MYCARE MEDICAL OF TEXAS, PLLC
  • Facility Address: 525 SOUTH 10TH STREET
    RAYMONDVILLE, TX
    ZIP 78580
  • Facility Phone: 956 689-2493
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AJITHRAJ SATHIYARAJ
  • NPI Number: 1508876665
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0503853
LAB Type Physician Office
Facility Name MYCARE MEDICAL OF TEXAS, PLLC
Street 525 SOUTH 10TH STREET
City RAYMONDVILLE
State TX
ZIP 78580
Phone 956 689-2493
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director AJITHRAJ SATHIYARAJ

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