45D1049374 CLIA NUMBER - M & C CHLIDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 45D1049374
  • Facility Name: M & C CHLIDRENS CLINIC
  • Facility Address: 11800 MONTANA AVE
    EL PASO, TX
    ZIP 79936
  • Facility Phone: 915 546-4140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STANLEY O. USEN

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CLIA Record

Field Name Field Value
CLIA Number 45D1049374
LAB Type Physician Office
Facility Name M & C CHLIDRENS CLINIC
Street 11800 MONTANA AVE
City EL PASO
State TX
ZIP 79936
Phone 915 546-4140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director STANLEY O. USEN

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This page was last updated on: 3/20/2025