45D0964534 CLIA NUMBER - KENDALL H WONG, MD

Laboratory Demographics

  • CLIA Code: 45D0964534
  • Facility Name: KENDALL H WONG, MD
  • Facility Address: 601 N GOLDER AVE SUITE A
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 332-2538
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENDALL H. WONG, M D
  • NPI Number: 1740369354
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0964534
LAB Type Physician Office
Facility Name KENDALL H WONG, MD
Street 601 N GOLDER AVE SUITE A
City ODESSA
State TX
ZIP 79761
Phone 432 332-2538
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 Physician Office
Lab Director KENDALL H. WONG, M D

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