45D0506303 CLIA NUMBER - EDUARDO MORENO MD RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 45D0506303
  • Facility Name: EDUARDO MORENO MD RURAL HEALTH CLINIC
  • Facility Address: 210 S AVE C
    CRYSTAL CITY, TX
    ZIP 78839
  • Facility Phone: 830 374-2952
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDUARDO MORENO MD
  • NPI Number: 1629140306
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0506303
LAB Type Physician Office
Facility Name EDUARDO MORENO MD RURAL HEALTH CLINIC
Street 210 S AVE C
City CRYSTAL CITY
State TX
ZIP 78839
Phone 830 374-2952
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director EDUARDO MORENO MD

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