45D2261217 CLIA NUMBER - AGAPE FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 45D2261217
  • Facility Name: AGAPE FAMILY PRACTICE LLC
  • Facility Address: 1519 S JACKSON RD, SUITE 2
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 269-9764
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KIMBERLY M. BELGUM
  • NPI Number: 1699411389
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2261217
LAB Type Community Clinic
Facility Name AGAPE FAMILY PRACTICE LLC
Street 1519 S JACKSON RD, SUITE 2
City PHARR
State TX
ZIP 78577
Phone 956 269-9764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Community Clinic
Lab Director KIMBERLY M. BELGUM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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