45D2130851 CLIA NUMBER - MICHAEL E MENCHACA, FNP-C PLLC DBA MENCHACA FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 45D2130851
  • Facility Name: MICHAEL E MENCHACA, FNP-C PLLC DBA MENCHACA FAMILY CLINIC
  • Facility Address: 1102 SOUTH F STREET
    HARLINGEN, TX
    ZIP 78550
  • Facility Phone: 956 533-4506
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. MENCHACA
  • NPI Number: 1104000264
  • Taxonomy: 2251X0800X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 45D2130851
LAB Type Practitioner Other
Facility Name MICHAEL E MENCHACA, FNP-C PLLC DBA MENCHACA FAMILY CLINIC
Street 1102 SOUTH F STREET
City HARLINGEN
State TX
ZIP 78550
Phone 956 533-4506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Practitioner Other
Lab Director MICHAEL E. MENCHACA

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