45D2091845 CLIA NUMBER - PROCARE HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 45D2091845
  • Facility Name: PROCARE HEALTH SERVICES LLC
  • Facility Address: 2101 E GRIFFIN PKWY
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 907-2976
  • Facility Type: Other - CLINIC
  • Facility Type: Waiver
  • Lab Director: TAJUL S. CHOWDHURY
  • NPI Number: 1689071615
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2091845
LAB Type Other - CLINIC
Facility Name PROCARE HEALTH SERVICES LLC
Street 2101 E GRIFFIN PKWY
City MISSION
State TX
ZIP 78572
Phone 956 907-2976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Other - CLINIC
Lab Director TAJUL S. CHOWDHURY

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