45D0705565 CLIA NUMBER - OSCAR BENAVIDES M D PA

Laboratory Demographics

  • CLIA Code: 45D0705565
  • Facility Name: OSCAR BENAVIDES M D PA
  • Facility Address: 209 W VILLAGE BLVD
    LAREDO, TX
    ZIP 78041
  • Facility Phone: 956 725-5210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OSCAR BENAVIDES
  • NPI Number: 1356493977
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0705565
LAB Type Physician Office
Facility Name OSCAR BENAVIDES M D PA
Street 209 W VILLAGE BLVD
City LAREDO
State TX
ZIP 78041
Phone 956 725-5210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director OSCAR BENAVIDES

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