45D2014712 CLIA NUMBER - EL PASO EASTSIDE CBOC

Laboratory Demographics

  • CLIA Code: 45D2014712
  • Facility Name: EL PASO EASTSIDE CBOC
  • Facility Address: 2400 TRAWOOD DRIVE SUITE 200
    EL PASO, TX
    ZIP 79936
  • Facility Phone: 915 564-6100
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: KHALED SARAH
  • NPI Number: 1154652287
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2014712
LAB Type Community Clinic
Facility Name EL PASO EASTSIDE CBOC
Street 2400 TRAWOOD DRIVE SUITE 200
City EL PASO
State TX
ZIP 79936
Phone 915 564-6100
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 10/15/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director KHALED SARAH

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