45D2093371 CLIA NUMBER - DOCTORS HOSPITAL AT RENAISSANCE MOBILE LABORATORY

Laboratory Demographics

  • CLIA Code: 45D2093371
  • Facility Name: DOCTORS HOSPITAL AT RENAISSANCE MOBILE LABORATORY
  • Facility Address: 5501 S MCCOLL
    EDINBURG, TX
    ZIP 78539
  • Facility Phone: 956 362-7673
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: RAVINDRA VEERAMACHANENI
  • NPI Number: 1144757121
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D2093371
LAB Type Mobile Laboratory
Facility Name DOCTORS HOSPITAL AT RENAISSANCE MOBILE LABORATORY
Street 5501 S MCCOLL
City EDINBURG
State TX
ZIP 78539
Phone 956 362-7673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Mobile Laboratory
Lab Director RAVINDRA VEERAMACHANENI

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