45D1005567 CLIA NUMBER - PEDIATRIC PRACTICE ASSOCIATION

Laboratory Demographics

  • CLIA Code: 45D1005567
  • Facility Name: PEDIATRIC PRACTICE ASSOCIATION
  • Facility Address: 201 EAST 2ND STREET
    RIO GRANDE CITY, TX
    ZIP 78582
  • Facility Phone: 956 488-1200
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: STANISLAUS UZOIGWE
  • NPI Number: 1700994217
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 45D1005567
LAB Type Physician Office
Facility Name PEDIATRIC PRACTICE ASSOCIATION
Street 201 EAST 2ND STREET
City RIO GRANDE CITY
State TX
ZIP 78582
Phone 956 488-1200
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director STANISLAUS UZOIGWE

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