45D1003093 CLIA NUMBER - SOUTHWEST PEDIATRIC NIGHT CLINIC OF EL PASO

Laboratory Demographics

CLIA Number: 45D1003093

Facility Name: SOUTHWEST PEDIATRIC NIGHT CLINIC OF EL PASO

Facility Address:
2325 PERSHING
EL PASO, TX
ZIP 79903
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Facility Phone Number: 915 590-5600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770607830

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	45D1003093
LAB Type	Physician Office
Facility Name	SOUTHWEST PEDIATRIC NIGHT CLINIC OF EL PASO
Street	2325 PERSHING
City	EL PASO
State	TX
ZIP	79903
Phone	915 590-5600
CertificateType	4
CertificateEffectiveDate	8/22/2022
CertificateExpirationDate	8/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024