45D2074866 CLIA NUMBER - PERMIAN BASIN COMMUNITY CENTERS

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CLIA Record

Field Name Field Value
CLIA Number 45D2074866
LAB Type Physician Office
Facility Name PERMIAN BASIN COMMUNITY CENTERS
Street 600 N GRANT
City ODESSA
State TX
ZIP 79761
Phone 432 570-3311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director RODDY M. STROBEL

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