45D0887566 CLIA NUMBER - ROBERTO CANALES MD PA

Laboratory Demographics

CLIA Number: 45D0887566

Facility Name: ROBERTO CANALES MD PA

Facility Address:
2295 TRAWOOD STE C
EL PASO, TX
ZIP 79935
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Facility Phone Number: 915 532-2985

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700166881

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 45D0887566
LAB Type Physician Office
Facility Name ROBERTO CANALES MD PA
Street 2295 TRAWOOD STE C
City EL PASO
State TX
ZIP 79935
Phone 915 532-2985
CertificateType 4
CertificateEffectiveDate 6/14/2022
CertificateExpirationDate 6/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024