45D0900070 CLIA NUMBER - CENTRO DE SALUD FAMILIAR LA FE - SAN ELIZARIO, INC

Laboratory Demographics

CLIA Number: 45D0900070

Facility Name: CENTRO DE SALUD FAMILIAR LA FE - SAN ELIZARIO, INC

Facility Address:
12101 SOCORRO
SAN ELIZARIO, TX
ZIP 79849
Get Directions

Facility Phone Number: 915 545-7062

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1801920632

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D0900070
LAB Type	Community Clinic
Facility Name	CENTRO DE SALUD FAMILIAR LA FE - SAN ELIZARIO, INC
Street	12101 SOCORRO
City	SAN ELIZARIO
State	TX
ZIP	79849
Phone	915 545-7062
CertificateType	4
CertificateEffectiveDate	4/17/2023
CertificateExpirationDate	4/16/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024