45D2140696 CLIA NUMBER - FEDORA E PAULET, PLLC

Laboratory Demographics

  • CLIA Code: 45D2140696
  • Facility Name: FEDORA E PAULET, PLLC
  • Facility Address: 702 E EXPRESSWAY 83, SUITE A-5
    DONNA, TX
    ZIP 78537
  • Facility Phone: 956 461-0315
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FEDORA E. PAULET
  • NPI Number: 1790735777
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2140696
LAB Type Physician Office
Facility Name FEDORA E PAULET, PLLC
Street 702 E EXPRESSWAY 83, SUITE A-5
City DONNA
State TX
ZIP 78537
Phone 956 461-0315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director FEDORA E. PAULET

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