45D1051880 CLIA NUMBER - GRETCHEN VELASCO, MD PA

Laboratory Demographics

  • CLIA Code: 45D1051880
  • Facility Name: GRETCHEN VELASCO, MD PA
  • Facility Address: 910 S BRYAN RD SUITE 204
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 581-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRETCHEN VELASCO, MD
  • NPI Number: 1811973480
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D1051880
LAB Type Physician Office
Facility Name GRETCHEN VELASCO, MD PA
Street 910 S BRYAN RD SUITE 204
City MISSION
State TX
ZIP 78572
Phone 956 581-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director GRETCHEN VELASCO, MD

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