45D2125814 CLIA NUMBER - LAREDO CARE CLINIC NORTH

Laboratory Demographics

  • CLIA Code: 45D2125814
  • Facility Name: LAREDO CARE CLINIC NORTH
  • Facility Address: 10201 MCPHERSON ROAD, BLDG STE 300
    LAREDO, TX
    ZIP 78045
  • Facility Phone: 956 795-1160
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RICHARD C. BANG
  • NPI Number: 1437330263
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2125814
LAB Type Community Clinic
Facility Name LAREDO CARE CLINIC NORTH
Street 10201 MCPHERSON ROAD, BLDG STE 300
City LAREDO
State TX
ZIP 78045
Phone 956 795-1160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Community Clinic
Lab Director RICHARD C. BANG

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