45D2010897 CLIA NUMBER - CLINICA SAN FERNANDO

Laboratory Demographics

  • CLIA Code: 45D2010897
  • Facility Name: CLINICA SAN FERNANDO
  • Facility Address: 3908 N JACKSON RD
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 683-9100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NELSON LOGGIODICE
  • NPI Number: 1821317843
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2010897
LAB Type Physician Office
Facility Name CLINICA SAN FERNANDO
Street 3908 N JACKSON RD
City PHARR
State TX
ZIP 78577
Phone 956 683-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2023
Certificate Expiration Date 6/8/2025
Facility Type Physician Office
Lab Director NELSON LOGGIODICE

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This page was last updated on: 3/20/2025