45D2189474 CLIA NUMBER - DIANA ESCOBEDO, MD, PA

Laboratory Demographics

  • CLIA Code: 45D2189474
  • Facility Name: DIANA ESCOBEDO, MD, PA
  • Facility Address: 494 KENAZO DR SUITE I-J
    HORIZON CITY, TX
    ZIP 79928
  • Facility Phone: 915 845-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANA ESCOBEDO
  • NPI Number: 1104278795
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2189474
LAB Type Physician Office
Facility Name DIANA ESCOBEDO, MD, PA
Street 494 KENAZO DR SUITE I-J
City HORIZON CITY
State TX
ZIP 79928
Phone 915 845-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director DIANA ESCOBEDO

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