45D1020449 CLIA NUMBER - KIDS FIRST PEDIATRICS ANTONIETA A GIMOTEA MD PA

Laboratory Demographics

  • CLIA Code: 45D1020449
  • Facility Name: KIDS FIRST PEDIATRICS ANTONIETA A GIMOTEA MD PA
  • Facility Address: 1022 EAST GRIFFIN PARKWAY SUITE 105
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 844-0093
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIETA A. GIMOTEA
  • NPI Number: 1841324340
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1020449
LAB Type Physician Office
Facility Name KIDS FIRST PEDIATRICS ANTONIETA A GIMOTEA MD PA
Street 1022 EAST GRIFFIN PARKWAY SUITE 105
City MISSION
State TX
ZIP 78572
Phone 956 844-0093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director ANTONIETA A. GIMOTEA

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