45D1080010 CLIA NUMBER - PEDRO J PENALO WESLACO MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D1080010
  • Facility Name: PEDRO J PENALO WESLACO MEDICAL CLINIC
  • Facility Address: 906 S BRIDGE AVE
    WESLACO, TX
    ZIP 78596
  • Facility Phone: 956 447-8600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEDRO PENALO
  • NPI Number: 1104920859
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1080010
LAB Type Physician Office
Facility Name PEDRO J PENALO WESLACO MEDICAL CLINIC
Street 906 S BRIDGE AVE
City WESLACO
State TX
ZIP 78596
Phone 956 447-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director PEDRO PENALO

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