45D2002505 CLIA NUMBER - EDDIE NASSAR MD PA

Laboratory Demographics

  • CLIA Code: 45D2002505
  • Facility Name: EDDIE NASSAR MD PA
  • Facility Address: 5000 DONIPHAN STE 104
    EL PASO, TX
    ZIP 79932
  • Facility Phone: 915 881-4225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDDIE NASSAR
  • NPI Number: 1699009456
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2002505
LAB Type Physician Office
Facility Name EDDIE NASSAR MD PA
Street 5000 DONIPHAN STE 104
City EL PASO
State TX
ZIP 79932
Phone 915 881-4225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director EDDIE NASSAR

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