45D0982629 CLIA NUMBER - JOSE BENIGNO MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D0982629
  • Facility Name: JOSE BENIGNO MEDICAL CLINIC
  • Facility Address: 115 WEST 42ND STREET
    ODESSA, TX
    ZIP 79764
  • Facility Phone: 432 367-4817
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE BENIGNO MD
  • NPI Number: 1881784643
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0982629
LAB Type Physician Office
Facility Name JOSE BENIGNO MEDICAL CLINIC
Street 115 WEST 42ND STREET
City ODESSA
State TX
ZIP 79764
Phone 432 367-4817
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director JOSE BENIGNO MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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