45D2250790 CLIA NUMBER - MCALLEN CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 45D2250790
  • Facility Name: MCALLEN CHILDREN'S CLINIC
  • Facility Address: 6900 N 10TH ST STE 10A
    MCALLEN, TX
    ZIP 78504
  • Facility Phone: 956 331-8767
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HILDEGARDO COSTA
  • NPI Number: 1861877607
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2250790
LAB Type Physician Office
Facility Name MCALLEN CHILDREN'S CLINIC
Street 6900 N 10TH ST STE 10A
City MCALLEN
State TX
ZIP 78504
Phone 956 331-8767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director HILDEGARDO COSTA

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