45D2320207 CLIA NUMBER - FRONTIER DIRECT CARE - EDINBURG MCCOLL

Laboratory Demographics

  • CLIA Code: 45D2320207
  • Facility Name: FRONTIER DIRECT CARE - EDINBURG MCCOLL
  • Facility Address: 4021 S MCCOLL RD, SUITE 4023
    EDINBURG, TX
    ZIP 78539
  • Facility Phone: 956 305-3321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER A. LAZZOPINA
  • NPI Number: 1124827449
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2320207
LAB Type Physician Office
Facility Name FRONTIER DIRECT CARE - EDINBURG MCCOLL
Street 4021 S MCCOLL RD, SUITE 4023
City EDINBURG
State TX
ZIP 78539
Phone 956 305-3321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director PETER A. LAZZOPINA

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