45D1105914 CLIA NUMBER - LUIS REYNOSO, MD

Laboratory Demographics

  • CLIA Code: 45D1105914
  • Facility Name: LUIS REYNOSO, MD
  • Facility Address: 629 KAMALL DRIVE ATTN CLIA LAB DIRECTOR
    HARLINGEN, TX
    ZIP 78550
  • Facility Phone: 956 425-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS A. REYNOSO
  • NPI Number: 1063402741
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1105914
LAB Type Physician Office
Facility Name LUIS REYNOSO, MD
Street 629 KAMALL DRIVE ATTN CLIA LAB DIRECTOR
City HARLINGEN
State TX
ZIP 78550
Phone 956 425-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director LUIS A. REYNOSO

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