45D1005817 CLIA NUMBER - WELLMED AT DOWNTOWN PHARR

Laboratory Demographics

  • CLIA Code: 45D1005817
  • Facility Name: WELLMED AT DOWNTOWN PHARR
  • Facility Address: 524 SOUTH CAGE BOULEVARD SUITE F
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 475-3031
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR GOMEZ
  • NPI Number: 1871667493
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1005817
LAB Type Physician Office
Facility Name WELLMED AT DOWNTOWN PHARR
Street 524 SOUTH CAGE BOULEVARD SUITE F
City PHARR
State TX
ZIP 78577
Phone 956 475-3031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director OMAR GOMEZ

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