45D2006333 CLIA NUMBER - UPPER VALLEY INTERVENTIONAL RADIOLOGY PA

Laboratory Demographics

  • CLIA Code: 45D2006333
  • Facility Name: UPPER VALLEY INTERVENTIONAL RADIOLOGY PA
  • Facility Address: 905 E ESPERANZA AVE
    MCALLEN, TX
    ZIP 78501
  • Facility Phone: 956 631-0124
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM R. MARTIN
  • NPI Number: 1962614099
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2006333
LAB Type Physician Office
Facility Name UPPER VALLEY INTERVENTIONAL RADIOLOGY PA
Street 905 E ESPERANZA AVE
City MCALLEN
State TX
ZIP 78501
Phone 956 631-0124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director WILLIAM R. MARTIN

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