45D0663846 CLIA NUMBER - CITY OF LAREDO HEALTH DEPARTMENT WIC PROGRAM

Laboratory Demographics

  • CLIA Code: 45D0663846
  • Facility Name: CITY OF LAREDO HEALTH DEPARTMENT WIC PROGRAM
  • Facility Address: 2600 CEDAR AVE
    LAREDO, TX
    ZIP 78040
  • Facility Phone: 956 723-2051
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JERRY R. ROBINSON
  • NPI Number: 1790858769
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0663846
LAB Type Community Clinic
Facility Name CITY OF LAREDO HEALTH DEPARTMENT WIC PROGRAM
Street 2600 CEDAR AVE
City LAREDO
State TX
ZIP 78040
Phone 956 723-2051
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 Community Clinic
Lab Director JERRY R. ROBINSON

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