45D0965126 CLIA NUMBER - CENTRO SAN VINCENTE HOMELESS CLINIC

Laboratory Demographics

  • CLIA Code: 45D0965126
  • Facility Name: CENTRO SAN VINCENTE HOMELESS CLINIC
  • Facility Address: 1208 MYRTLE AVENUE
    EL PASO, TX
    ZIP 79901
  • Facility Phone: 915 577-0069
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOSE LUNA JR MD
  • NPI Number: 1841480902
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0965126
LAB Type Community Clinic
Facility Name CENTRO SAN VINCENTE HOMELESS CLINIC
Street 1208 MYRTLE AVENUE
City EL PASO
State TX
ZIP 79901
Phone 915 577-0069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Community Clinic
Lab Director JOSE LUNA JR MD

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