CLIA lab

CLIA 45D2109223: Boys and Girls Pediatric Clinic (Casa Rio Grande)

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

CLIA number 45D2109223 belongs to Boys and Girls Pediatric Clinic (Casa Rio Grande) in San Benito, TX.

Certificate of Waiver, effective July 24, 2025, expires July 23, 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
July 24, 2025
Certificate expiration
July 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 22, 2016
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
45D2109223
Lab name
Boys and Girls Pediatric Clinic (Casa Rio Grande)
Address
401 E Hwy 77, San Benito, TX 78586
Phone
(956) 831-0880
Fax
(956) 831-0815

Annual test volume the lab reported

Waived tests
3,000

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

Other labs in San Benito, TX

Related

Questions

What is the CLIA number for Boys and Girls Pediatric Clinic (Casa Rio Grande) in San Benito?

45D2109223, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Boys and Girls Pediatric Clinic (Casa Rio Grande) hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2109223 expire?

The CMS file lists July 23, 2027 as the certificate expiration date; the certificate took effect July 24, 2025.

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