45D0968736 CLIA NUMBER - MIGDALIA MONZON MD PA

Laboratory Demographics

  • CLIA Code: 45D0968736
  • Facility Name: MIGDALIA MONZON MD PA
  • Facility Address: 850 TOWER DRIVE SUITE 107
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 580-0212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGDALIA MONZON
  • NPI Number: 1417030693
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0968736
LAB Type Physician Office
Facility Name MIGDALIA MONZON MD PA
Street 850 TOWER DRIVE SUITE 107
City ODESSA
State TX
ZIP 79761
Phone 432 580-0212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director MIGDALIA MONZON

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