45D2116143 CLIA NUMBER - PHYSICIANS PREMIER EMERGENCY ROOM-CALALLEN

Laboratory Demographics

  • CLIA Code: 45D2116143
  • Facility Name: PHYSICIANS PREMIER EMERGENCY ROOM-CALALLEN
  • Facility Address: 11100 LEOPARD STREET, STE 103
    CORPUS CHRISTI, TX
    ZIP 78410
  • Facility Phone: 270 703-7246
  • Facility Type: Other - FREESTANDING EMERGENCY ME
  • Facility Type: Accreditation
  • Lab Director: DR. PAUL D. KENYON
  • NPI Number: 1588111082
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2116143
LAB Type Other - FREESTANDING EMERGENCY ME
Facility Name PHYSICIANS PREMIER EMERGENCY ROOM-CALALLEN
Street 11100 LEOPARD STREET, STE 103
City CORPUS CHRISTI
State TX
ZIP 78410
Phone 270 703-7246
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Other - FREESTANDING EMERGENCY ME
Lab Director DR. PAUL D. KENYON

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