45D1090931 CLIA NUMBER - NUECES COUNTY COMMUNITY ACTION AGENCY HEAD START PROGRAM

Laboratory Demographics

  • CLIA Code: 45D1090931
  • Facility Name: NUECES COUNTY COMMUNITY ACTION AGENCY HEAD START PROGRAM
  • Facility Address: 101 SOUTH PADRE ISLAND DRIVE
    CORPUS CHRISTI, TX
    ZIP 78405
  • Facility Phone: 361 883-7201
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ALICIA MANCHA
  • NPI Number: 1487756359
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1090931
LAB Type School/Student Health Service
Facility Name NUECES COUNTY COMMUNITY ACTION AGENCY HEAD START PROGRAM
Street 101 SOUTH PADRE ISLAND DRIVE
City CORPUS CHRISTI
State TX
ZIP 78405
Phone 361 883-7201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type School/Student Health Service
Lab Director ALICIA MANCHA

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