45D2009151 CLIA NUMBER - ODESSA CONSULTANTS

Laboratory Demographics

  • CLIA Code: 45D2009151
  • Facility Name: ODESSA CONSULTANTS
  • Facility Address: 807 N HANCOCK
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 582-2446
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MADHU PAMGUNAMAMULA
  • NPI Number: 1376729004
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2009151
LAB Type Physician Office
Facility Name ODESSA CONSULTANTS
Street 807 N HANCOCK
City ODESSA
State TX
ZIP 79761
Phone 432 582-2446
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director MADHU PAMGUNAMAMULA

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