45D0922563 CLIA NUMBER - NICOLAS RICH, JR, MD, FAAP, PA

Laboratory Demographics

  • CLIA Code: 45D0922563
  • Facility Name: NICOLAS RICH, JR, MD, FAAP, PA
  • Facility Address: 2900 N KANSAS ST
    EL PASO, TX
    ZIP 79902
  • Facility Phone: 915 544-4484
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLAS RICH JR
  • NPI Number: 1689741712
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0922563
LAB Type Physician Office
Facility Name NICOLAS RICH, JR, MD, FAAP, PA
Street 2900 N KANSAS ST
City EL PASO
State TX
ZIP 79902
Phone 915 544-4484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director NICOLAS RICH JR

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This page was last updated on: 3/20/2025