45D1005836 CLIA NUMBER - SOUTH TEXAS MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 45D1005836

Facility Name: SOUTH TEXAS MEDICAL ASSOCIATES

Facility Address:
6809 EVERHART ROAD
CORPUS CHRISTI, TX
ZIP 78413
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Facility Phone Number: 361 885-0075

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033340963

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name	Field Value
CLIA Number	45D1005836
LAB Type	Physician Office
Facility Name	SOUTH TEXAS MEDICAL ASSOCIATES
Street	6809 EVERHART ROAD
City	CORPUS CHRISTI
State	TX
ZIP	78413
Phone	361 885-0075
CertificateType	4
CertificateEffectiveDate	1/6/2023
CertificateExpirationDate	1/5/2025
FacilityType	Waiver

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