45D0972943 CLIA NUMBER - ADVANT-EDGE HOME HEALTH & PHARMA-CARE

Laboratory Demographics

  • CLIA Code: 45D0972943
  • Facility Name: ADVANT-EDGE HOME HEALTH & PHARMA-CARE
  • Facility Address: 1576 LOMALAND DRIVE
    EL PASO, TX
    ZIP 79935
  • Facility Phone: 915 595-0409
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EUSTACIO RIVAS
  • NPI Number: 1003994518
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0972943
LAB Type Pharmacy
Facility Name ADVANT-EDGE HOME HEALTH & PHARMA-CARE
Street 1576 LOMALAND DRIVE
City EL PASO
State TX
ZIP 79935
Phone 915 595-0409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Pharmacy
Lab Director EUSTACIO RIVAS

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