45D0904549 CLIA NUMBER - RUBEN BOCANEGRA MD

Laboratory Demographics

  • CLIA Code: 45D0904549
  • Facility Name: RUBEN BOCANEGRA MD
  • Facility Address: 7210 MCPHERSON, STE 200
    LAREDO, TX
    ZIP 78041
  • Facility Phone: 956 724-2800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RUBEN D. BOCANEGRA MD
  • NPI Number: 1205820602
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0904549
LAB Type Physician Office
Facility Name RUBEN BOCANEGRA MD
Street 7210 MCPHERSON, STE 200
City LAREDO
State TX
ZIP 78041
Phone 956 724-2800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director RUBEN D. BOCANEGRA MD

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