CLIA lab
CLIA 45D2163984: Luna Medical Clinic PLLC
Port Isabel, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2163984 belongs to Luna Medical Clinic PLLC in Port Isabel, TX.
Certificate of Waiver, effective March 25, 2025, expires March 24, 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
- March 25, 2025
- Certificate expiration
- March 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 25, 2019
- Facility type
- Other practitioner
- 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
- 45D2163984
- Lab name
- Luna Medical Clinic PLLC
- Address
- 112 W Queen Isabella Blvd, Ste C, Port Isabel, TX 78578
- Phone
- (956) 524-0555
- Fax
- (956) 524-0405
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Luna Medical Clinic PLLC in Port Isabel?
45D2163984, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Luna Medical Clinic PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2163984 expire?
The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.