45D2189628 CLIA NUMBER - SALUD FAMILY PRACTICE PLLC DBA OPTIMUM MEN'S HEALTH

Laboratory Demographics

CLIA Number: 45D2189628

Facility Name: SALUD FAMILY PRACTICE PLLC DBA OPTIMUM MEN'S HEALTH

Facility Address:
1106 W SAM HOUSTON BLVD STE 1
PHARR, TX
ZIP 78577
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Facility Phone Number: 956 566-7220

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1932767902

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2189628
LAB Type	Practitioner Other
Facility Name	SALUD FAMILY PRACTICE PLLC DBA OPTIMUM MEN'S HEALTH
Street	1106 W SAM HOUSTON BLVD STE 1
City	PHARR
State	TX
ZIP	78577
Phone	956 566-7220
CertificateType	4
CertificateEffectiveDate	8/4/2022
CertificateExpirationDate	8/3/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024