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45D2049597 CLIA NUMBER - FRIENDLY NEIGHBORHOOD HEALTH CLINIC

Laboratory Demographics

CLIA Number: 45D2049597

Facility Name: FRIENDLY NEIGHBORHOOD HEALTH CLINIC

Facility Address:
617 E LOOP 499 SUITE C
HARLINGEN, TX
ZIP 78550
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Facility Phone Number: 955 428-8264

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1184973216

Taxonomy: 305R00000X - Preferred Provider Organization
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

CLIA Record

Field Name Field Value
CLIA Number 45D2049597
LAB Type Practitioner Other
Facility Name FRIENDLY NEIGHBORHOOD HEALTH CLINIC
Street 617 E LOOP 499 SUITE C
City HARLINGEN
State TX
ZIP 78550
Phone 955 428-8264
CertificateType 4
CertificateEffectiveDate 11/8/2022
CertificateExpirationDate 11/7/2024
FacilityType Waiver

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