45D2185084 CLIA NUMBER - VALLEY PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 45D2185084
  • Facility Name: VALLEY PEDIATRIC CLINIC
  • Facility Address: 131 N FM 3167, SUITE D
    RIO GRANDE CITY, TX
    ZIP 78582
  • Facility Phone: 956 317-1126
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: LUIS VALENCIA
  • NPI Number: 1316370430
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2185084
LAB Type Rural Health Clinic
Facility Name VALLEY PEDIATRIC CLINIC
Street 131 N FM 3167, SUITE D
City RIO GRANDE CITY
State TX
ZIP 78582
Phone 956 317-1126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Rural Health Clinic
Lab Director LUIS VALENCIA

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