45D2045149 CLIA NUMBER - VALLEY HOUSE CALLS, PLLC

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Laboratory Demographics

CLIA Number: 45D2045149

Facility Name: VALLEY HOUSE CALLS, PLLC

Facility Address:
1795 W US HWY 77
SAN BENITO, TX
ZIP 78586
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Facility Phone Number: 956 276-4560

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386967164

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	45D2045149
LAB Type	Physician Office
Facility Name	VALLEY HOUSE CALLS, PLLC
Street	1795 W US HWY 77
City	SAN BENITO
State	TX
ZIP	78586
Phone	956 276-4560
CertificateType	4
CertificateEffectiveDate	8/8/2022
CertificateExpirationDate	8/7/2024
FacilityType	Waiver

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