45D1037554 CLIA NUMBER - RAYMONDVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1037554
  • Facility Name: RAYMONDVILLE PEDIATRICS
  • Facility Address: 640 S EXPRESSWAY 77, SUITE 2
    RAYMONDVILLE, TX
    ZIP 78580
  • Facility Phone: 956 689-4120
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERTO M. REY
  • NPI Number: 1538606595
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1037554
LAB Type Physician Office
Facility Name RAYMONDVILLE PEDIATRICS
Street 640 S EXPRESSWAY 77, SUITE 2
City RAYMONDVILLE
State TX
ZIP 78580
Phone 956 689-4120
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director ROBERTO M. REY

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