45D0964529 CLIA NUMBER - GEORGE CHOUMAROV

Laboratory Demographics

  • CLIA Code: 45D0964529
  • Facility Name: GEORGE CHOUMAROV
  • Facility Address: 414 EAST 8TH STREET
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 332-2332
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE CHOUMAROV
  • NPI Number: 1902898166
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0964529
LAB Type Physician Office
Facility Name GEORGE CHOUMAROV
Street 414 EAST 8TH STREET
City ODESSA
State TX
ZIP 79761
Phone 432 332-2332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director GEORGE CHOUMAROV

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