45D2228891 CLIA NUMBER - ELDORADO TEXAS COMMUNITY SERVICE CENTER

Laboratory Demographics

  • CLIA Code: 45D2228891
  • Facility Name: ELDORADO TEXAS COMMUNITY SERVICE CENTER
  • Facility Address: 1213 DURHAM DRIVE
    HOUSTON, TX
    ZIP 77007
  • Facility Phone: 956 787-3544
  • Facility Type: Other - NTP OTP
  • Facility Type: Waiver
  • Lab Director: JOHN MOHNEY
  • NPI Number: 1538485693
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2228891
LAB Type Other - NTP OTP
Facility Name ELDORADO TEXAS COMMUNITY SERVICE CENTER
Street 1213 DURHAM DRIVE
City HOUSTON
State TX
ZIP 77007
Phone 956 787-3544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Other - NTP OTP
Lab Director JOHN MOHNEY

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