45D2139723 CLIA NUMBER - DR MONA WOMEN'S CLINIC, PA

Laboratory Demographics

CLIA Number: 45D2139723

Facility Name: DR MONA WOMEN'S CLINIC, PA

Facility Address:
1604 EAST 8TH STREET, SUITE B
WESLACO, TX
ZIP 78596
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Facility Phone Number: 956 973-9717

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497265334

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	45D2139723
LAB Type	Physician Office
Facility Name	DR MONA WOMEN'S CLINIC, PA
Street	1604 EAST 8TH STREET, SUITE B
City	WESLACO
State	TX
ZIP	78596
Phone	956 973-9717
CertificateType	4
CertificateEffectiveDate	11/7/2023
CertificateExpirationDate	11/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024