45D2298908 CLIA NUMBER - WILLACY COUNTY REGIONAL DETENTION FACILITY

Laboratory Demographics

  • CLIA Code: 45D2298908
  • Facility Name: WILLACY COUNTY REGIONAL DETENTION FACILITY
  • Facility Address: 1601 BUFFALO DRIVE
    RAYMONDVILLE, TX
    ZIP 78580
  • Facility Phone: 956 966-6910
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: DR. JACQUELYN WHITE
  • NPI Number: 1992778492
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2298908
LAB Type Prison
Facility Name WILLACY COUNTY REGIONAL DETENTION FACILITY
Street 1601 BUFFALO DRIVE
City RAYMONDVILLE
State TX
ZIP 78580
Phone 956 966-6910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Prison
Lab Director DR. JACQUELYN WHITE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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