45D2047422 CLIA NUMBER - DTM

Laboratory Demographics

  • CLIA Code: 45D2047422
  • Facility Name: DTM
  • Facility Address: 723 EAST UNIVERSITY
    EDINBURG, TX
    ZIP 78539
  • Facility Phone: 956 607-0765
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DANIEL VELAZQUEZ
  • NPI Number: 1649838178
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2047422
LAB Type Independent
Facility Name DTM
Street 723 EAST UNIVERSITY
City EDINBURG
State TX
ZIP 78539
Phone 956 607-0765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Independent
Lab Director DANIEL VELAZQUEZ

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