45D0990054 CLIA NUMBER - PERMIAN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D0990054
  • Facility Name: PERMIAN PEDIATRICS
  • Facility Address: 303 EAST 7TH STREET
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 582-2929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL CASTILLO
  • NPI Number: 1679022610
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0990054
LAB Type Physician Office
Facility Name PERMIAN PEDIATRICS
Street 303 EAST 7TH STREET
City ODESSA
State TX
ZIP 79761
Phone 432 582-2929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director MANUEL CASTILLO

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