45D1004683 CLIA NUMBER - PAUL C NOWAK MD

Laboratory Demographics

  • CLIA Code: 45D1004683
  • Facility Name: PAUL C NOWAK MD
  • Facility Address: 1800 N MESA, SUITE 102
    EL PASO, TX
    ZIP 79902
  • Facility Phone: 915 545-2600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL C. NOWAK
  • NPI Number: 1033260641
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1004683
LAB Type Physician Office
Facility Name PAUL C NOWAK MD
Street 1800 N MESA, SUITE 102
City EL PASO
State TX
ZIP 79902
Phone 915 545-2600
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 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director PAUL C. NOWAK

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