45D2262933 CLIA NUMBER - SOUTH TEXAS PEDIATRIC URGENT CARE, PLLC

Laboratory Demographics

CLIA Number: 45D2262933

Facility Name: SOUTH TEXAS PEDIATRIC URGENT CARE, PLLC

Facility Address:
519 N BEDELL AVE
DEL RIO, TX
ZIP 78840
Get Directions

Facility Phone Number: 830 356-5155

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457098030

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2262933
LAB Type	Physician Office
Facility Name	SOUTH TEXAS PEDIATRIC URGENT CARE, PLLC
Street	519 N BEDELL AVE
City	DEL RIO
State	TX
ZIP	78840
Phone	830 356-5155
CertificateType	4
CertificateEffectiveDate	6/21/2022
CertificateExpirationDate	6/20/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024