45D1086784 CLIA NUMBER - RADIOLOGY & IMAGING OF SOUTH TEXAS LLP

Laboratory Demographics

  • CLIA Code: 45D1086784
  • Facility Name: RADIOLOGY & IMAGING OF SOUTH TEXAS LLP
  • Facility Address: 3226 SOUTH ALAMEDA
    CORPUS CHRISTI, TX
    ZIP 78404
  • Facility Phone: 361 823-4503
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID CLARK
  • NPI Number: 1184669897
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1086784
LAB Type Physician Office
Facility Name RADIOLOGY & IMAGING OF SOUTH TEXAS LLP
Street 3226 SOUTH ALAMEDA
City CORPUS CHRISTI
State TX
ZIP 78404
Phone 361 823-4503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director DAVID CLARK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025