45D2285751 CLIA NUMBER - DCBR LLC DBA ATHEA MEDICAL

Laboratory Demographics

  • CLIA Code: 45D2285751
  • Facility Name: DCBR LLC DBA ATHEA MEDICAL
  • Facility Address: 14517 S PADRE ISLAND DRIVE ATTN LAB DIRECTOR
    CORPUS CHRISTI, TX
    ZIP 78418
  • Facility Phone: 361 444-3326
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIM N. ONUFRAK
  • NPI Number: 1942985189
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2285751
LAB Type Physician Office
Facility Name DCBR LLC DBA ATHEA MEDICAL
Street 14517 S PADRE ISLAND DRIVE ATTN LAB DIRECTOR
City CORPUS CHRISTI
State TX
ZIP 78418
Phone 361 444-3326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2023
Certificate Expiration Date 7/17/2025
Facility Type Physician Office
Lab Director KIM N. ONUFRAK

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This page was last updated on: 3/20/2025