45D2316925 CLIA NUMBER - EL DORADO TEXAS COMMUNITY SERVICES CENTER

Laboratory Demographics

  • CLIA Code: 45D2316925
  • Facility Name: EL DORADO TEXAS COMMUNITY SERVICES CENTER
  • Facility Address: 5510 N CAGE BLVD SUITE P
    PHARR, TX
    ZIP 78577
  • Facility Phone: 956 787-3544
  • Facility Type: Other - OPIOID TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: JOHN MOHNEY
  • NPI Number: 1902263478
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2316925
LAB Type Other - OPIOID TREATMENT PROGRAM
Facility Name EL DORADO TEXAS COMMUNITY SERVICES CENTER
Street 5510 N CAGE BLVD SUITE P
City PHARR
State TX
ZIP 78577
Phone 956 787-3544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Other - OPIOID TREATMENT PROGRAM
Lab Director JOHN MOHNEY

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