45D2324355 CLIA NUMBER - DAVILA'S CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 45D2324355
  • Facility Name: DAVILA'S CLINIC, PLLC
  • Facility Address: 412 E 18TH ST STE E
    WESLACO, TX
    ZIP 78596
  • Facility Phone: 956 520-7050
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JUSTIN DAVILA
  • NPI Number: 1356164008
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2324355
LAB Type Community Clinic
Facility Name DAVILA'S CLINIC, PLLC
Street 412 E 18TH ST STE E
City WESLACO
State TX
ZIP 78596
Phone 956 520-7050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Community Clinic
Lab Director JUSTIN DAVILA

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