45D2046461 CLIA NUMBER - TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SURGERY CLINIC

Laboratory Demographics

  • CLIA Code: 45D2046461
  • Facility Name: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SURGERY CLINIC
  • Facility Address: 4801 ALBERTA AVE,A114
    EL PASO, TX
    ZIP 79905
  • Facility Phone: 915 215-5310
  • Facility Type: Other - OUT-PATIENT SURGERY CLINI
  • Facility Type: Waiver
  • Lab Director: ALAN H. TYROCH
  • NPI Number: 1225066277
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 45D2046461
LAB Type Other - OUT-PATIENT SURGERY CLINI
Facility Name TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SURGERY CLINIC
Street 4801 ALBERTA AVE,A114
City EL PASO
State TX
ZIP 79905
Phone 915 215-5310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Other - OUT-PATIENT SURGERY CLINI
Lab Director ALAN H. TYROCH

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This page was last updated on: 3/20/2025