45D2172913 CLIA NUMBER - RODOLFO LONGORIA MD PA

Laboratory Demographics

  • CLIA Code: 45D2172913
  • Facility Name: RODOLFO LONGORIA MD PA
  • Facility Address: 302 LORENALY DRIVE, SUITE G
    BROWNSVILLE, TX
    ZIP 78526
  • Facility Phone: 956 525-7310
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILIA HERNANDEZ
  • NPI Number: 1518513985
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2172913
LAB Type Physician Office
Facility Name RODOLFO LONGORIA MD PA
Street 302 LORENALY DRIVE, SUITE G
City BROWNSVILLE
State TX
ZIP 78526
Phone 956 525-7310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director LILIA HERNANDEZ

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