45D1025180 CLIA NUMBER - NUESTRA CLINICA DEL VALLE

Laboratory Demographics

CLIA Number: 45D1025180

Facility Name: NUESTRA CLINICA DEL VALLE

Facility Address:
201 S LOS EBANOS BLVD
ALTON, TX
ZIP 78572
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Facility Phone Number: 956 787-8915

Facility Type: Federally Qualified Health Center

Certificate Type: Accreditation

NPI Number: 1942246327

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	45D1025180
LAB Type	Federally Qualified Health Center
Facility Name	NUESTRA CLINICA DEL VALLE
Street	201 S LOS EBANOS BLVD
City	ALTON
State	TX
ZIP	78572
Phone	956 787-8915
CertificateType	1
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Accreditation

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