45D1044974 CLIA NUMBER - JAMES Y LI, MD, PA

Laboratory Demographics

  • CLIA Code: 45D1044974
  • Facility Name: JAMES Y LI, MD, PA
  • Facility Address: 612 N. WASHINGTON AVE SUITE 200
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 332-9263
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES Y. LI
  • NPI Number: 1932184629
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D1044974
LAB Type Physician Office
Facility Name JAMES Y LI, MD, PA
Street 612 N. WASHINGTON AVE SUITE 200
City ODESSA
State TX
ZIP 79761
Phone 432 332-9263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director JAMES Y. LI

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