45D2070501 CLIA NUMBER - MANUEL F VALENZUELA MD PA

Laboratory Demographics

  • CLIA Code: 45D2070501
  • Facility Name: MANUEL F VALENZUELA MD PA
  • Facility Address: 6633 N MESA ST, STE 203
    EL PASO, TX
    ZIP 79912
  • Facility Phone: 915 500-4093
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL F. VALENZUELA
  • NPI Number: 1801009576
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2070501
LAB Type Physician Office
Facility Name MANUEL F VALENZUELA MD PA
Street 6633 N MESA ST, STE 203
City EL PASO
State TX
ZIP 79912
Phone 915 500-4093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director MANUEL F. VALENZUELA

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