45D0935473 CLIA NUMBER - WOMENS DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 45D0935473
  • Facility Name: WOMENS DIAGNOSTIC CENTER
  • Facility Address: 2134 E GRIFFIN PARKWAY
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 580-0580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESELLE A. MATHEWS
  • NPI Number: 1710090451
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D0935473
LAB Type Physician Office
Facility Name WOMENS DIAGNOSTIC CENTER
Street 2134 E GRIFFIN PARKWAY
City MISSION
State TX
ZIP 78572
Phone 956 580-0580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director JESELLE A. MATHEWS

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