45D1039555 CLIA NUMBER - SAN MARTIN DE PORRES CLINIC

Laboratory Demographics

CLIA Number: 45D1039555

Facility Name: SAN MARTIN DE PORRES CLINIC

Facility Address:
1337 E PALMAVISTA DRIVE, SUITE A
MISSION, TX
ZIP 78572
Get Directions

Facility Phone Number: 956 519-9500

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1801122445

Taxonomy: 261QR0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1039555
LAB Type	Physician Office
Facility Name	SAN MARTIN DE PORRES CLINIC
Street	1337 E PALMAVISTA DRIVE, SUITE A
City	MISSION
State	TX
ZIP	78572
Phone	956 519-9500
CertificateType	1
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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