45D0933496 CLIA NUMBER - COASTAL CARDIOLOGY ASSOCIATION LAB

Laboratory Demographics

CLIA Number: 45D0933496

Facility Name: COASTAL CARDIOLOGY ASSOCIATION LAB

Facility Address:
613 ELIZABETH SUITE 402
CORPUS CHRISTI, TX
ZIP 78404
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Facility Phone Number: 361 887-2900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255324851

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	45D0933496
LAB Type	Physician Office
Facility Name	COASTAL CARDIOLOGY ASSOCIATION LAB
Street	613 ELIZABETH SUITE 402
City	CORPUS CHRISTI
State	TX
ZIP	78404
Phone	361 887-2900
CertificateType	4
CertificateEffectiveDate	2/5/2024
CertificateExpirationDate	2/4/2026
FacilityType	Waiver

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