45D2144239 CLIA NUMBER - JCBPAC, PLLC DBA LIVEWELL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D2144239
  • Facility Name: JCBPAC, PLLC DBA LIVEWELL MEDICAL CENTER
  • Facility Address: 1100 W SAM HOUSTON BLVD
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 609-6699
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONICA E. GONZALEZ
  • NPI Number: 1295249910
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 45D2144239
LAB Type Physician Office
Facility Name JCBPAC, PLLC DBA LIVEWELL MEDICAL CENTER
Street 1100 W SAM HOUSTON BLVD
City PHARR
State TX
ZIP 78577
Phone 956 609-6699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director MONICA E. GONZALEZ

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