45D1019287 CLIA NUMBER - UNITED MEDICAL CENTER DBA EIDSON RD CLINIC

Laboratory Demographics

  • CLIA Code: 45D1019287
  • Facility Name: UNITED MEDICAL CENTER DBA EIDSON RD CLINIC
  • Facility Address: 1175 EIDSON ROAD
    EAGLE PASS, TX
    ZIP 78852
  • Facility Phone: 830 773-5358
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Accreditation
  • Lab Director: GLORIA ROCHA
  • NPI Number: 1245581156
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1019287
LAB Type Federally Qualified Health Center
Facility Name UNITED MEDICAL CENTER DBA EIDSON RD CLINIC
Street 1175 EIDSON ROAD
City EAGLE PASS
State TX
ZIP 78852
Phone 830 773-5358
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 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Federally Qualified Health Center
Lab Director GLORIA ROCHA

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This page was last updated on: 6/4/2025