45D0927187 CLIA NUMBER - EL PASO PULMONARY ASSOCIATION

Laboratory Demographics

  • CLIA Code: 45D0927187
  • Facility Name: EL PASO PULMONARY ASSOCIATION
  • Facility Address: 4305 N MESA ST STE A
    EL PASO, TX
    ZIP 79902
  • Facility Phone: 915 225-2193
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CARLO HATEM DO
  • NPI Number: 1871082107
  • Taxonomy: 207RC0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0927187
LAB Type Physician Office
Facility Name EL PASO PULMONARY ASSOCIATION
Street 4305 N MESA ST STE A
City EL PASO
State TX
ZIP 79902
Phone 915 225-2193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director DR. CARLO HATEM DO

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