45D1004683 CLIA NUMBER - PAUL C NOWAK MD

Laboratory Demographics

CLIA Number: 45D1004683

Facility Name: PAUL C NOWAK MD

Facility Address:
1800 N MESA, SUITE 102
EL PASO, TX
ZIP 79902
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Facility Phone Number: 915 545-2600

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1033260641

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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
CertificateType	3
CertificateEffectiveDate	10/2/2022
CertificateExpirationDate	10/1/2024
FacilityType	PPMP

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