CLIA lab

CLIA 45D1089851: Upper Valley Pedi & Adolescent

San Juan, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D1089851 belongs to Upper Valley Pedi & Adolescent in San Juan, TX.

Certificate of Waiver, effective January 4, 2025, expires January 3, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 4, 2025
Certificate expiration
January 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 29, 2008
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D1089851
Lab name
Upper Valley Pedi & Adolescent
Additional name
Healthcare Clinic PA
Address
411 West State Highway 495, San Juan, TX 78589
Phone
(956) 787-8100
Fax
(956) 787-8117

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in San Juan, TX

Related

Questions

What is the CLIA number for Upper Valley Pedi & Adolescent in San Juan?

45D1089851, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Upper Valley Pedi & Adolescent hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D1089851 expire?

The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.

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