45D2163986 CLIA NUMBER - FERNANDO J OTERO MD PA EDINBURG

Laboratory Demographics

  • CLIA Code: 45D2163986
  • Facility Name: FERNANDO J OTERO MD PA EDINBURG
  • Facility Address: 1900 W UNIVERSITY DRIVE, SUITE 7
    EDINBURG, TX
    ZIP 78539
  • Facility Phone: 956 603-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FERNANDO OTERO
  • NPI Number: 1104321389
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 45D2163986
LAB Type Physician Office
Facility Name FERNANDO J OTERO MD PA EDINBURG
Street 1900 W UNIVERSITY DRIVE, SUITE 7
City EDINBURG
State TX
ZIP 78539
Phone 956 603-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director FERNANDO OTERO

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