45D2324140 CLIA NUMBER - EDGAR A RODRIGUEZ MD PA

Laboratory Demographics

  • CLIA Code: 45D2324140
  • Facility Name: EDGAR A RODRIGUEZ MD PA
  • Facility Address: 1211 N RAUL LONGORIA ROAD
    SAN JUAN, TX
    ZIP 78589
  • Facility Phone: 956 782-7878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDGAR A. RODRIGUEZ
  • NPI Number: 1952500993
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2324140
LAB Type Physician Office
Facility Name EDGAR A RODRIGUEZ MD PA
Street 1211 N RAUL LONGORIA ROAD
City SAN JUAN
State TX
ZIP 78589
Phone 956 782-7878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director EDGAR A. RODRIGUEZ

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