45D0962778 CLIA NUMBER - MICHAEL V SHELTON, M D , P A

Laboratory Demographics

  • CLIA Code: 45D0962778
  • Facility Name: MICHAEL V SHELTON, M D , P A
  • Facility Address: 4222 WENDOVER, SUITE 600
    ODESSA, TX
    ZIP 79762
  • Facility Phone: 915 552-5656
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MICHAEL SHELTON
  • NPI Number: 1215429592
  • Taxonomy: 227900000X - Respiratory Therapist, Registered

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CLIA Record

Field Name Field Value
CLIA Number 45D0962778
LAB Type Physician Office
Facility Name MICHAEL V SHELTON, M D , P A
Street 4222 WENDOVER, SUITE 600
City ODESSA
State TX
ZIP 79762
Phone 915 552-5656
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director MICHAEL SHELTON

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