45D2067177 CLIA NUMBER - BORDERLAND MEDICA, P A

Laboratory Demographics

  • CLIA Code: 45D2067177
  • Facility Name: BORDERLAND MEDICA, P A
  • Facility Address: 1171 LARRY MAHAN DRIVE
    EL PASO, TX
    ZIP 79925
  • Facility Phone: 915 532-1197
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DINORAH J. NUTIS
  • NPI Number: 1578833109
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2067177
LAB Type Physician Office
Facility Name BORDERLAND MEDICA, P A
Street 1171 LARRY MAHAN DRIVE
City EL PASO
State TX
ZIP 79925
Phone 915 532-1197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Physician Office
Lab Director DINORAH J. NUTIS

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