45D1070955 CLIA NUMBER - SOUTHSIDE NIGHT CLINIC PA

Laboratory Demographics

  • CLIA Code: 45D1070955
  • Facility Name: SOUTHSIDE NIGHT CLINIC PA
  • Facility Address: 717 SAVANNAH AVE
    MCALLEN, TX
    ZIP 78503
  • Facility Phone: 956 631-5995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERTHA L. MEDINA MD
  • NPI Number: 1396790994
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1070955
LAB Type Physician Office
Facility Name SOUTHSIDE NIGHT CLINIC PA
Street 717 SAVANNAH AVE
City MCALLEN
State TX
ZIP 78503
Phone 956 631-5995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director BERTHA L. MEDINA MD

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