45D0864272 CLIA NUMBER - LAREDO INTERNAL MEDICINE & ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D0864272
  • Facility Name: LAREDO INTERNAL MEDICINE & ASSOCIATES
  • Facility Address: 2412 JACAMAN, SUITE 103
    LAREDO, TX
    ZIP 78041
  • Facility Phone: 956 726-0647
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADONIS ZUNIGA-GOLDWATER
  • NPI Number: 1033974324
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D0864272
LAB Type Physician Office
Facility Name LAREDO INTERNAL MEDICINE & ASSOCIATES
Street 2412 JACAMAN, SUITE 103
City LAREDO
State TX
ZIP 78041
Phone 956 726-0647
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 Physician Office
Lab Director ADONIS ZUNIGA-GOLDWATER

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