45D2028702 CLIA NUMBER - ENDOSCOPY CENTER AT RIDGE PLAZA LLP

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Laboratory Demographics

CLIA Number: 45D2028702

Facility Name: ENDOSCOPY CENTER AT RIDGE PLAZA LLP

Facility Address:
1200 E SAVANNAH AVE SUITE 15
MCALLEN, TX
ZIP 78503
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Facility Phone Number: 956 687-2673

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1346288032

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2028702
LAB Type	Ambulatory Surgery Center
Facility Name	ENDOSCOPY CENTER AT RIDGE PLAZA LLP
Street	1200 E SAVANNAH AVE SUITE 15
City	MCALLEN
State	TX
ZIP	78503
Phone	956 687-2673
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

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