45D0964528 CLIA NUMBER - MOUNTAIN VILLA NURSING CENTER

Laboratory Demographics

  • CLIA Code: 45D0964528
  • Facility Name: MOUNTAIN VILLA NURSING CENTER
  • Facility Address: 2729 PORTER AVENUE
    EL PASO, TX
    ZIP 79930
  • Facility Phone: 915 566-2111
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NORMA V. RIVERA
  • NPI Number: 1720351216
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0964528
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MOUNTAIN VILLA NURSING CENTER
Street 2729 PORTER AVENUE
City EL PASO
State TX
ZIP 79930
Phone 915 566-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NORMA V. RIVERA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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