45D1055230 CLIA NUMBER - GREGORIO JOEL CASTILLO MD PA

Laboratory Demographics

  • CLIA Code: 45D1055230
  • Facility Name: GREGORIO JOEL CASTILLO MD PA
  • Facility Address: 10501 VISTA DEL SOL SUITE 200
    EL PASO, TX
    ZIP 79925
  • Facility Phone: 915 592-8880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORIO JOEL A. CASTILLO
  • NPI Number: 1356524490
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1055230
LAB Type Physician Office
Facility Name GREGORIO JOEL CASTILLO MD PA
Street 10501 VISTA DEL SOL SUITE 200
City EL PASO
State TX
ZIP 79925
Phone 915 592-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director GREGORIO JOEL A. CASTILLO

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