45D1083010 CLIA NUMBER - VISTA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 45D1083010
  • Facility Name: VISTA SURGERY CENTER
  • Facility Address: 1400 COMMON DRIVE
    EL PASO, TX
    ZIP 79936
  • Facility Phone: 915 595-4375
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARC ELLMAN
  • NPI Number: 1033316765
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1083010
LAB Type Ambulatory Surgery Center
Facility Name VISTA SURGERY CENTER
Street 1400 COMMON DRIVE
City EL PASO
State TX
ZIP 79936
Phone 915 595-4375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Ambulatory Surgery Center
Lab Director MARC ELLMAN

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