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45D2057614 CLIA NUMBER - HASSAN SALLOUM MD PA DBA WESTWIND PEDIATRIC CLINIC

Laboratory Demographics

CLIA Number: 45D2057614

Facility Name: HASSAN SALLOUM MD PA DBA WESTWIND PEDIATRIC CLINIC

Facility Address:
1541 N ZARAGOZA
EL PASO, TX
ZIP 79936
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Facility Phone Number: 915 581-5100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1972619500

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 45D2057614
LAB Type Physician Office
Facility Name HASSAN SALLOUM MD PA DBA WESTWIND PEDIATRIC CLINIC
Street 1541 N ZARAGOZA
City EL PASO
State TX
ZIP 79936
Phone 915 581-5100
CertificateType 4
CertificateEffectiveDate 4/19/2023
CertificateExpirationDate 4/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024