45D2034540 CLIA NUMBER - ADRIANA POP-MOODY MD CLINIC PLLC

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Laboratory Demographics

CLIA Number: 45D2034540

Facility Name: ADRIANA POP-MOODY MD CLINIC PLLC

Facility Address:
613 ELIZABETH STREET 704
CORPUS CHRISTI, TX
ZIP 78404
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Facility Phone Number: 361 885-0010

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013049048

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	45D2034540
LAB Type	Physician Office
Facility Name	ADRIANA POP-MOODY MD CLINIC PLLC
Street	613 ELIZABETH STREET 704
City	CORPUS CHRISTI
State	TX
ZIP	78404
Phone	361 885-0010
CertificateType	4
CertificateEffectiveDate	12/28/2023
CertificateExpirationDate	12/27/2025
FacilityType	Waiver

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