45D2021576 CLIA NUMBER - SPI CLINIC

Laboratory Demographics

  • CLIA Code: 45D2021576
  • Facility Name: SPI CLINIC
  • Facility Address: 3808 PADRE BLVD
    SOUTH PADRE ISLAND, TX
    ZIP 78597
  • Facility Phone: 956 761-3996
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE R. GUEVARC
  • NPI Number: 1699087650
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2021576
LAB Type Physician Office
Facility Name SPI CLINIC
Street 3808 PADRE BLVD
City SOUTH PADRE ISLAND
State TX
ZIP 78597
Phone 956 761-3996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director JORGE R. GUEVARC

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