45D2105675 CLIA NUMBER - PEDIATRICS ENDOCRINE AND DIABETES ASSOC

Laboratory Demographics

  • CLIA Code: 45D2105675
  • Facility Name: PEDIATRICS ENDOCRINE AND DIABETES ASSOC
  • Facility Address: 844 CENTRAL BLVD, SUITE 330
    BROWNSVILLE, TX
    ZIP 78520
  • Facility Phone: 956 307-9254
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANJANA S. REGUNATHA
  • NPI Number: 1144327347
  • Taxonomy: 2080P0202X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2105675
LAB Type Physician Office
Facility Name PEDIATRICS ENDOCRINE AND DIABETES ASSOC
Street 844 CENTRAL BLVD, SUITE 330
City BROWNSVILLE
State TX
ZIP 78520
Phone 956 307-9254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director RANJANA S. REGUNATHA

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