45D2296796 CLIA NUMBER - PROACTIVE CLINICAL RESEARCH LLC

Laboratory Demographics

  • CLIA Code: 45D2296796
  • Facility Name: PROACTIVE CLINICAL RESEARCH LLC
  • Facility Address: 2613 W TRENTON RD
    EDINBURG, TX
    ZIP 78539
  • Facility Phone: 956 731-1260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE G. CEVALLOS
  • NPI Number: 1023163466
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2296796
LAB Type Physician Office
Facility Name PROACTIVE CLINICAL RESEARCH LLC
Street 2613 W TRENTON RD
City EDINBURG
State TX
ZIP 78539
Phone 956 731-1260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director JOSE G. CEVALLOS

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