45D1019286 CLIA NUMBER - LAREDO SPORTS MEDICINE CLINIC PA

Laboratory Demographics

  • CLIA Code: 45D1019286
  • Facility Name: LAREDO SPORTS MEDICINE CLINIC PA
  • Facility Address: 7109 N BARTLETT AVE, SUITE 109
    LAREDO, TX
    ZIP 78041
  • Facility Phone: 956 727-2122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN V. PUIG II MD
  • NPI Number: 1376750331
  • Taxonomy: 213ES0103X - Podiatrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1019286
LAB Type Physician Office
Facility Name LAREDO SPORTS MEDICINE CLINIC PA
Street 7109 N BARTLETT AVE, SUITE 109
City LAREDO
State TX
ZIP 78041
Phone 956 727-2122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director JOHN V. PUIG II MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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