45D2143652 CLIA NUMBER - CASTANEDA QUICK CARE, PLLC

Laboratory Demographics

  • CLIA Code: 45D2143652
  • Facility Name: CASTANEDA QUICK CARE, PLLC
  • Facility Address: 907 E FORDYCE AVE
    KINGSVILLE, TX
    ZIP 78363
  • Facility Phone: 361 221-2461
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ERNEST CASTANEDA
  • NPI Number: 1437666831
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2143652
LAB Type Practitioner Other
Facility Name CASTANEDA QUICK CARE, PLLC
Street 907 E FORDYCE AVE
City KINGSVILLE
State TX
ZIP 78363
Phone 361 221-2461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Practitioner Other
Lab Director ERNEST CASTANEDA

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