45D0995523 CLIA NUMBER - CHINWE NDUKA MD FAMILY PRACTICE PA

Laboratory Demographics

  • CLIA Code: 45D0995523
  • Facility Name: CHINWE NDUKA MD FAMILY PRACTICE PA
  • Facility Address: 3515 GATEWAY WEST BLVD
    EL PASO, TX
    ZIP 79903
  • Facility Phone: 915 774-0458
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHINWE C. NDUKA
  • NPI Number: 1316946734
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0995523
LAB Type Physician Office
Facility Name CHINWE NDUKA MD FAMILY PRACTICE PA
Street 3515 GATEWAY WEST BLVD
City EL PASO
State TX
ZIP 79903
Phone 915 774-0458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Physician Office
Lab Director CHINWE C. NDUKA

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