45D0894093 CLIA NUMBER - PECOS VALLEY RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 45D0894093
  • Facility Name: PECOS VALLEY RURAL HEALTH CLINIC
  • Facility Address: 2335 MEDICAL DRIVE
    PECOS, TX
    ZIP 79772
  • Facility Phone: 432 447-0565
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: STEVEN E. SERRANO
  • NPI Number: 1073654935
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0894093
LAB Type Rural Health Clinic
Facility Name PECOS VALLEY RURAL HEALTH CLINIC
Street 2335 MEDICAL DRIVE
City PECOS
State TX
ZIP 79772
Phone 432 447-0565
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Rural Health Clinic
Lab Director STEVEN E. SERRANO

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