45D0891232 CLIA NUMBER - EGBERT MIRANDA MD

Laboratory Demographics

  • CLIA Code: 45D0891232
  • Facility Name: EGBERT MIRANDA MD
  • Facility Address: 5934 S STAPLES SUITE 205
    CORPUS CHRISTI, TX
    ZIP 78413
  • Facility Phone: 361 991-5520
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EGBERT MIRANDA MD
  • NPI Number: 1366537201
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0891232
LAB Type Physician Office
Facility Name EGBERT MIRANDA MD
Street 5934 S STAPLES SUITE 205
City CORPUS CHRISTI
State TX
ZIP 78413
Phone 361 991-5520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director EGBERT MIRANDA MD

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