45D2280213 CLIA NUMBER - EDGAR REYNA MD PA- BORDER REGIONAL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2280213
  • Facility Name: EDGAR REYNA MD PA- BORDER REGIONAL FAMILY MEDICINE
  • Facility Address: 12008 SOCORRO RD. SUITE A, ROOM 5
    SAN ELIZARIO, TX
    ZIP 79849
  • Facility Phone: 915 855-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDGAR REYNA
  • NPI Number: 1215294566
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2280213
LAB Type Physician Office
Facility Name EDGAR REYNA MD PA- BORDER REGIONAL FAMILY MEDICINE
Street 12008 SOCORRO RD. SUITE A, ROOM 5
City SAN ELIZARIO
State TX
ZIP 79849
Phone 915 855-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director EDGAR REYNA

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