45D0931659 CLIA NUMBER - JAVIER MEDINA MD PA

Laboratory Demographics

  • CLIA Code: 45D0931659
  • Facility Name: JAVIER MEDINA MD PA
  • Facility Address: 1924 EAST GRIFFIN PARKWAY
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 581-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAVIER MEDINA MD
  • NPI Number: 1104848514
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0931659
LAB Type Physician Office
Facility Name JAVIER MEDINA MD PA
Street 1924 EAST GRIFFIN PARKWAY
City MISSION
State TX
ZIP 78572
Phone 956 581-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director JAVIER MEDINA MD

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