45D1010767 CLIA NUMBER - UMC EL PASO HEALTHCARE, INC

Laboratory Demographics

  • CLIA Code: 45D1010767
  • Facility Name: UMC EL PASO HEALTHCARE, INC
  • Facility Address: 4500 N MESA
    EL PASO, TX
    ZIP 79912
  • Facility Phone: 915 532-9000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RUBEN RONCALLO
  • NPI Number: 1841347218
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D1010767
LAB Type Physician Office
Facility Name UMC EL PASO HEALTHCARE, INC
Street 4500 N MESA
City EL PASO
State TX
ZIP 79912
Phone 915 532-9000
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 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director RUBEN RONCALLO

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