45D2114204 CLIA NUMBER - RAIDER SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 45D2114204
  • Facility Name: RAIDER SURGICAL CENTER LLC
  • Facility Address: 1400 EAST RIDGE ROAD, STE 3
    MCALLEN, TX
    ZIP 78503
  • Facility Phone: (956) 968-3171
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WADE GRAHAM
  • NPI Number: 1982069068
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2114204
LAB Type Ambulatory Surgery Center
Facility Name RAIDER SURGICAL CENTER LLC
Street 1400 EAST RIDGE ROAD, STE 3
City MCALLEN
State TX
ZIP 78503
Phone 9569683171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2026
Certificate Expiration Date 6/7/2028
Facility Type Ambulatory Surgery Center
Lab Director WADE GRAHAM

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This page was last updated on: 6/29/2026