45D2291891 CLIA NUMBER - CLINICA LA CENTROAMERICANA IRVING

Laboratory Demographics

  • CLIA Code: 45D2291891
  • Facility Name: CLINICA LA CENTROAMERICANA IRVING
  • Facility Address: 3620 W PIONEER DR SUITE 113
    IRVING, TX
    ZIP 75061
  • Facility Phone: 469 276-7625
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERTO BARRIOS
  • NPI Number: 1245492685
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2291891
LAB Type Physician Office
Facility Name CLINICA LA CENTROAMERICANA IRVING
Street 3620 W PIONEER DR SUITE 113
City IRVING
State TX
ZIP 75061
Phone 469 276-7625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director ROBERTO BARRIOS

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