45D1001768 CLIA NUMBER - PAMELA A MCQUILLIN, MD

Laboratory Demographics

  • CLIA Code: 45D1001768
  • Facility Name: PAMELA A MCQUILLIN, MD
  • Facility Address: 1330 EAST 8TH STREET, SUITE 420
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 363-7726
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAMELA A. MCQUILLIN MD
  • NPI Number: 1811990088
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D1001768
LAB Type Physician Office
Facility Name PAMELA A MCQUILLIN, MD
Street 1330 EAST 8TH STREET, SUITE 420
City ODESSA
State TX
ZIP 79761
Phone 432 363-7726
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director PAMELA A. MCQUILLIN MD

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