45D0881212 CLIA NUMBER - SAN JUAN FAMILY CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 45D0881212
LAB Type Physician Office
Facility Name SAN JUAN FAMILY CLINIC
Street 417 W FM 495
City SAN JUAN
State TX
ZIP 78589
Phone 956 783-7088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director MARIO VASQUEZ

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