45D2242301 CLIA NUMBER - BESPOKE MD

Laboratory Demographics

  • CLIA Code: 45D2242301
  • Facility Name: BESPOKE MD
  • Facility Address: 7017 N 10TH STREET, SUITE N2 #368
    MCALLEN, TX
    ZIP 78504
  • Facility Phone: 956 608-6700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA MONTES
  • NPI Number: 1538958012
  • Taxonomy: 2083B0002X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2242301
LAB Type Physician Office
Facility Name BESPOKE MD
Street 7017 N 10TH STREET, SUITE N2 #368
City MCALLEN
State TX
ZIP 78504
Phone 956 608-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director LAURA MONTES

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