45D0992046 CLIA NUMBER - DUWAYNE P EDGE DO PA

Laboratory Demographics

  • CLIA Code: 45D0992046
  • Facility Name: DUWAYNE P EDGE DO PA
  • Facility Address: 2605 AMARILLO STREET
    INGLESIDE, TX
    ZIP 78362
  • Facility Phone: 361 775-0961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUWAYNE P. EDGE
  • NPI Number: 1730152612
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0992046
LAB Type Physician Office
Facility Name DUWAYNE P EDGE DO PA
Street 2605 AMARILLO STREET
City INGLESIDE
State TX
ZIP 78362
Phone 361 775-0961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Physician Office
Lab Director DUWAYNE P. EDGE

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