45D2262670 CLIA NUMBER - MISSION DOCTORS CLINIC DBA MONARCH CLINIC

Laboratory Demographics

  • CLIA Code: 45D2262670
  • Facility Name: MISSION DOCTORS CLINIC DBA MONARCH CLINIC
  • Facility Address: 910 SOUTH BRYAN ROAD
    MISSION, TX
    ZIP 78572
  • Facility Phone: 210 323-1301
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ALBERTO GONZALEZ
  • NPI Number: 1700893849
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2262670
LAB Type Community Clinic
Facility Name MISSION DOCTORS CLINIC DBA MONARCH CLINIC
Street 910 SOUTH BRYAN ROAD
City MISSION
State TX
ZIP 78572
Phone 210 323-1301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Community Clinic
Lab Director ALBERTO GONZALEZ

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