45D1092680 CLIA NUMBER - DESI CANALS MD PA

Laboratory Demographics

  • CLIA Code: 45D1092680
  • Facility Name: DESI CANALS MD PA
  • Facility Address: 1112 E GRIFFIN PKWY SUITE A
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 584-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CANALS DESI
  • NPI Number: 1851460695
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1092680
LAB Type Physician Office
Facility Name DESI CANALS MD PA
Street 1112 E GRIFFIN PKWY SUITE A
City MISSION
State TX
ZIP 78572
Phone 956 584-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director CANALS DESI

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