45D2073990 CLIA NUMBER - CAROLINA PRADERIO MD PLLC

Laboratory Demographics

  • CLIA Code: 45D2073990
  • Facility Name: CAROLINA PRADERIO MD PLLC
  • Facility Address: 5826 ESPLANADE DRIVE, SUITE 101
    CORPUS CHRISTI, TX
    ZIP 78414
  • Facility Phone: 361 991-9356
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROLINA PRADERIO
  • NPI Number: 1396173100
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2073990
LAB Type Physician Office
Facility Name CAROLINA PRADERIO MD PLLC
Street 5826 ESPLANADE DRIVE, SUITE 101
City CORPUS CHRISTI
State TX
ZIP 78414
Phone 361 991-9356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director CAROLINA PRADERIO

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