45D1100005 CLIA NUMBER - DAVID LECUSAY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1100005
  • Facility Name: DAVID LECUSAY PEDIATRICS
  • Facility Address: 864 CENTRAL BOULEVARD SUITE 2700
    BROWNSVILLE, TX
    ZIP 78520
  • Facility Phone: 956 544-6900
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DAVID LECUSAY
  • NPI Number: 1174576714
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1100005
LAB Type Physician Office
Facility Name DAVID LECUSAY PEDIATRICS
Street 864 CENTRAL BOULEVARD SUITE 2700
City BROWNSVILLE
State TX
ZIP 78520
Phone 956 544-6900
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director DAVID LECUSAY

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