45D2272866 CLIA NUMBER - FRONTIER DIRECT CARE RAYMONDVILLE

Laboratory Demographics

  • CLIA Code: 45D2272866
  • Facility Name: FRONTIER DIRECT CARE RAYMONDVILLE
  • Facility Address: 100 US HIGHWAY 77, SUITE K
    RAYMONDVILLE, TX
    ZIP 78580
  • Facility Phone: 956 394-0968
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE YBARRA
  • NPI Number: 1043086044
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2272866
LAB Type Physician Office
Facility Name FRONTIER DIRECT CARE RAYMONDVILLE
Street 100 US HIGHWAY 77, SUITE K
City RAYMONDVILLE
State TX
ZIP 78580
Phone 956 394-0968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director MICHELLE YBARRA

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