45D1058227 CLIA NUMBER - JULIETTE MADRIAGAL MD

Laboratory Demographics

  • CLIA Code: 45D1058227
  • Facility Name: JULIETTE MADRIAGAL MD
  • Facility Address: 105 MEADOWLAKES DR
    MEADOWLAKES, TX
    ZIP 78654
  • Facility Phone: 830 693-0555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIETTE M. MADRIGAL
  • NPI Number: 1710103668
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1058227
LAB Type Physician Office
Facility Name JULIETTE MADRIAGAL MD
Street 105 MEADOWLAKES DR
City MEADOWLAKES
State TX
ZIP 78654
Phone 830 693-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director JULIETTE M. MADRIGAL

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