45D2291565 CLIA NUMBER - FRONTIER DIRECT CARE-PHARR

Laboratory Demographics

  • CLIA Code: 45D2291565
  • Facility Name: FRONTIER DIRECT CARE-PHARR
  • Facility Address: 114 CHEROKEE AVE
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 666-7854
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER LAZZOPHINA
  • NPI Number: 1356117352
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2291565
LAB Type Physician Office
Facility Name FRONTIER DIRECT CARE-PHARR
Street 114 CHEROKEE AVE
City PHARR
State TX
ZIP 78577
Phone 956 666-7854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director PETER LAZZOPHINA

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