45D2118697 CLIA NUMBER - PADRE DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 45D2118697
  • Facility Name: PADRE DERMATOLOGY PLLC
  • Facility Address: 14650 COMPASS ST STE 1
    CORPUS CHRISTI, TX
    ZIP 78418
  • Facility Phone: 361 867-1032
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RYAN T. ROGERS
  • NPI Number: 1215302427
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2118697
LAB Type Physician Office
Facility Name PADRE DERMATOLOGY PLLC
Street 14650 COMPASS ST STE 1
City CORPUS CHRISTI
State TX
ZIP 78418
Phone 361 867-1032
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Physician Office
Lab Director RYAN T. ROGERS

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