45D2014012 CLIA NUMBER - ADELAIDA RESENDEZ MD

Laboratory Demographics

  • CLIA Code: 45D2014012
  • Facility Name: ADELAIDA RESENDEZ MD
  • Facility Address: 110 MEDICAL DR 103
    VICTORIA, TX
    ZIP 77904
  • Facility Phone: 361 572-0033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADELAIDA RESENDEZ
  • NPI Number: 1174612519
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2014012
LAB Type Physician Office
Facility Name ADELAIDA RESENDEZ MD
Street 110 MEDICAL DR 103
City VICTORIA
State TX
ZIP 77904
Phone 361 572-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director ADELAIDA RESENDEZ

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