45D2156842 CLIA NUMBER - CARLOS R ELIZONDO MD PLLC

Laboratory Demographics

  • CLIA Code: 45D2156842
  • Facility Name: CARLOS R ELIZONDO MD PLLC
  • Facility Address: 5710 ESPLANADE DRIVE
    CORPUS CHRISTI, TX
    ZIP 78414
  • Facility Phone: (361) 664-0303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS R. ELIZONDO
  • NPI Number: 1104278860
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2156842
LAB Type Physician Office
Facility Name CARLOS R ELIZONDO MD PLLC
Street 5710 ESPLANADE DRIVE
City CORPUS CHRISTI
State TX
ZIP 78414
Phone 3616640303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director CARLOS R. ELIZONDO

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This page was last updated on: 5/18/2026