45D1106777 CLIA NUMBER - SUN CITY KIDZ CLINIC PA

Laboratory Demographics

  • CLIA Code: 45D1106777
  • Facility Name: SUN CITY KIDZ CLINIC PA
  • Facility Address: 3917 N MESA
    EL PASO, TX
    ZIP 79902
  • Facility Phone: (915) 544-5439
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISELA IBARRA
  • NPI Number: 1568876324
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1106777
LAB Type Physician Office
Facility Name SUN CITY KIDZ CLINIC PA
Street 3917 N MESA
City EL PASO
State TX
ZIP 79902
Phone 9155445439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Physician Office
Lab Director ISELA IBARRA

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This page was last updated on: 5/15/2026