45D1019320 CLIA NUMBER - P DOUGLAS COCHRAN MD LTD DBA EVANGELION MEDICAL

Laboratory Demographics

  • CLIA Code: 45D1019320
  • Facility Name: P DOUGLAS COCHRAN MD LTD DBA EVANGELION MEDICAL
  • Facility Address: 15 SMITH ROAD # 3004
    MIDLAND, TX
    ZIP 79705
  • Facility Phone: 432 699-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: P DOUGLAS COCHRAN MD
  • NPI Number: 1336320498
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1019320
LAB Type Physician Office
Facility Name P DOUGLAS COCHRAN MD LTD DBA EVANGELION MEDICAL
Street 15 SMITH ROAD # 3004
City MIDLAND
State TX
ZIP 79705
Phone 432 699-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director P DOUGLAS COCHRAN MD

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