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

Laboratory Demographics

  • CLIA Code: 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
  • Facility Phone: 956 566-7220
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ROGELIO FLORES
  • NPI Number: 1932767902
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Practitioner Other
Lab Director ROGELIO FLORES

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