45D1030243 CLIA NUMBER - FRONTERA PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 45D1030243
  • Facility Name: FRONTERA PEDIATRICS PA
  • Facility Address: 109 W MARTIN STREET
    DEL RIO, TX
    ZIP 78840
  • Facility Phone: 830 778-5439
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CESAR H. FAZ
  • NPI Number: 1912046509
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1030243
LAB Type Physician Office
Facility Name FRONTERA PEDIATRICS PA
Street 109 W MARTIN STREET
City DEL RIO
State TX
ZIP 78840
Phone 830 778-5439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director CESAR H. FAZ

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