45D0943389 CLIA NUMBER - PERMIAN WOMENS CENTER PA

Laboratory Demographics

CLIA Number: 45D0943389

Facility Name: PERMIAN WOMENS CENTER PA

Facility Address:
405 N TOM GREEN
ODESSA, TX
ZIP 79761
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Facility Phone Number: 432 580-9876

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1013942861

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 45D0943389
LAB Type Physician Office
Facility Name PERMIAN WOMENS CENTER PA
Street 405 N TOM GREEN
City ODESSA
State TX
ZIP 79761
Phone 432 580-9876
CertificateType 1
CertificateEffectiveDate 11/23/2023
CertificateExpirationDate 11/22/2025
FacilityType Accreditation

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