SU CLINICA FAMILIAR
NPI 1194820969
Pharmacy - Clinic Pharmacy in Raymondville, TX

Q: What is Su Clinica Familiar's NPI number?

The NPI number for Su Clinica Familiar is 1194820969. It was assigned to this organization in the NPPES registry on September 14, 2006.

Q: What is Su Clinica Familiar's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since September 14, 2006CLIA Certified · 2 labs

131 FM 3168, RAYMONDVILLE, TX 78580(956) 689-5216(956) 689-5937 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Su Clinica Familiar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SU CLINICA FAMILIAR (NPI 1194820969) is a healthcare organization registered as a clinic pharmacy in Raymondville, Texas and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Elena Marin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194820969

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameSU CLINICA FAMILIAR

Location Address131 FM 3168Raymondville, TX 78580-3605

Mailing Address1706 Treasure Hills BlvdHarlingen, TX 78550-8911 · (956) 365-6005 · Fax (956) 365-6770

Phone(956) 689-5216

Fax(956) 689-5937

Organization SubpartNo

Authorized OfficialElena MarinExecutive Director · (956) 365-6750

Enumeration DateSeptember 14, 2006

Last NPPES UpdateSeptember 28, 2016

✔ NPI 1194820969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in TX · A01094

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

131 FM 3168, Raymondville, TX 78580

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Other Names 1

Doing Business AsSu Clinica Familiar

Other Identifiers 1

Other2099012Pk

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0993049

Su Clinica Familiar Wic Project #04 Lasara · Raymondville, TX

Active · expires Nov 1, 2027

CLIA Number45D0993049

Laboratory TypeCommunity Clinic

Certificate Effective DateNovember 2, 2025

Certificate Expiration DateNovember 1, 2027

Laboratory DirectorNoe Medina

Laboratory Phone(956) 689-2425

Laboratory LocationSu Clinica Familiar Wic Project #04 Lasara131 Fm 3168, Raymondville, TX 78580

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D0503850

Su Clinica · Raymondville, TX

Active · expires Oct 21, 2026

CLIA Number45D0503850

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 22, 2024

Certificate Expiration DateOctober 21, 2026

Laboratory DirectorNoe Medina

Laboratory Phone(210) 689-2196

Laboratory LocationSu Clinica131 Fm Rd 3168, Raymondville, TX 78580

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSA LINDA IBARRA BS,RD,LD

Dietitian, Registered