45D1054614 CLIA NUMBER - EL PASO VASCULAR ACCESS CENTER

Laboratory Demographics

  • CLIA Code: 45D1054614
  • Facility Name: EL PASO VASCULAR ACCESS CENTER
  • Facility Address: 1601 N BROWN
    EL PASO, TX
    ZIP 79902
  • Facility Phone: 915 533-1789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HECTOR DIAZ
  • NPI Number: 1679515019
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D1054614
LAB Type Physician Office
Facility Name EL PASO VASCULAR ACCESS CENTER
Street 1601 N BROWN
City EL PASO
State TX
ZIP 79902
Phone 915 533-1789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director HECTOR DIAZ

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