45D2000357 CLIA NUMBER - THE PEDIATRIC CARE CENTER

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Laboratory Demographics

CLIA Number: 45D2000357

Facility Name: THE PEDIATRIC CARE CENTER

Facility Address:
1673 E BENITO STREET
RIO GRANDE CITY, TX
ZIP 78582
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Facility Phone Number: 956 533-3381

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1437575172

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2000357
LAB Type	Physician Office
Facility Name	THE PEDIATRIC CARE CENTER
Street	1673 E BENITO STREET
City	RIO GRANDE CITY
State	TX
ZIP	78582
Phone	956 533-3381
CertificateType	1
CertificateEffectiveDate	4/4/2024
CertificateExpirationDate	4/3/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024