45D1097486 CLIA NUMBER - M & M PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1097486
  • Facility Name: M & M PEDIATRICS
  • Facility Address: 4365 S EXPRESSWAY 77/83 SUITE 700
    BROWNSVILLE, TX
    ZIP 78520
  • Facility Phone: 956 350-5255
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HUMBERTO DE LA VEGA
  • NPI Number: 1235170606
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1097486
LAB Type Physician Office
Facility Name M & M PEDIATRICS
Street 4365 S EXPRESSWAY 77/83 SUITE 700
City BROWNSVILLE
State TX
ZIP 78520
Phone 956 350-5255
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/20/2023
Certificate Expiration Date 7/19/2025
Facility Type Physician Office
Lab Director HUMBERTO DE LA VEGA

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This page was last updated on: 6/4/2025