45D2177707 CLIA NUMBER - THE CENTER FOR PRIMARY CARE AND WELLNESS

Laboratory Demographics

  • CLIA Code: 45D2177707
  • Facility Name: THE CENTER FOR PRIMARY CARE AND WELLNESS
  • Facility Address: 2120 E BUSINESS HIGHWAY 83, SUITE B
    MISSION, TX
    ZIP 78572
  • Facility Phone: 956 410-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARRYL STINSON
  • NPI Number: 1669021887
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2177707
LAB Type Physician Office
Facility Name THE CENTER FOR PRIMARY CARE AND WELLNESS
Street 2120 E BUSINESS HIGHWAY 83, SUITE B
City MISSION
State TX
ZIP 78572
Phone 956 410-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director DARRYL STINSON

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