45D1075829 CLIA NUMBER - GUIDING STAR SOUTHWEST LLC

Laboratory Demographics

  • CLIA Code: 45D1075829
  • Facility Name: GUIDING STAR SOUTHWEST LLC
  • Facility Address: 1411 MONTANA AVE
    EL PASO, TX
    ZIP 79902
  • Facility Phone: 915 544-9600
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAURA C. GUTIERREZ
  • NPI Number: 1568155653
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1075829
LAB Type Practitioner Other
Facility Name GUIDING STAR SOUTHWEST LLC
Street 1411 MONTANA AVE
City EL PASO
State TX
ZIP 79902
Phone 915 544-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Practitioner Other
Lab Director LAURA C. GUTIERREZ

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