45D2039971 CLIA NUMBER - MARIA COLE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2039971
  • Facility Name: MARIA COLE FAMILY PRACTICE
  • Facility Address: 5031 WAYLAND DR
    ODESSA, TX
    ZIP 79762
  • Facility Phone: (432) 580-7320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA COLE
  • NPI Number: 1760785075
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2039971
LAB Type Physician Office
Facility Name MARIA COLE FAMILY PRACTICE
Street 5031 WAYLAND DR
City ODESSA
State TX
ZIP 79762
Phone 4325807320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2026
Certificate Expiration Date 4/19/2028
Facility Type Physician Office
Lab Director MARIA COLE

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This page was last updated on: 6/29/2026