45D0509804 CLIA NUMBER - CENTRO SAN VICENTE

Laboratory Demographics

  • CLIA Code: 45D0509804
  • Facility Name: CENTRO SAN VICENTE
  • Facility Address: 8061 ALAMEDA AVENUE
    EL PASO, TX
    ZIP 79915
  • Facility Phone: 915 859-7545
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JOSE LUNA JR MD
  • NPI Number: 1215473707
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0509804
LAB Type Community Clinic
Facility Name CENTRO SAN VICENTE
Street 8061 ALAMEDA AVENUE
City EL PASO
State TX
ZIP 79915
Phone 915 859-7545
Certificate Type Certificate of Accreditation
Certificate Type Description 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.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Community Clinic
Lab Director JOSE LUNA JR MD

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