45D0938077 CLIA NUMBER - MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 45D0938077
  • Facility Name: MEDICINE CLINIC
  • Facility Address: 9963 A ALAMEDA AVENUE
    EL PASO, TX
    ZIP 79927
  • Facility Phone: 915 872-0477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADRIAN O. UGARTE MD
  • NPI Number: 1013259811
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D0938077
LAB Type Physician Office
Facility Name MEDICINE CLINIC
Street 9963 A ALAMEDA AVENUE
City EL PASO
State TX
ZIP 79927
Phone 915 872-0477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director ADRIAN O. UGARTE MD

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