45D2024588 CLIA NUMBER - THE PEDIATRIC CARE CENTER

Laboratory Demographics

CLIA Number: 45D2024588

Facility Name: THE PEDIATRIC CARE CENTER

Facility Address:
1804 US HIGHWAY 83
ZAPATA, TX
ZIP 78076
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Facility Phone Number: 956 265-9040

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1104173988

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 45D2024588
LAB Type Physician Office
Facility Name THE PEDIATRIC CARE CENTER
Street 1804 US HIGHWAY 83
City ZAPATA
State TX
ZIP 78076
Phone 956 265-9040
CertificateType 1
CertificateEffectiveDate 3/30/2024
CertificateExpirationDate 3/29/2026
FacilityType Accreditation

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