45D2083593 CLIA NUMBER - WEST TEXAS MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 45D2083593
  • Facility Name: WEST TEXAS MEDICAL CARE
  • Facility Address: 3001 N FAUDREE ROAD
    ODESSA, TX
    ZIP 79765
  • Facility Phone: 432 614-6228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTTY R. ORTEGA
  • NPI Number: 1194015297
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2083593
LAB Type Physician Office
Facility Name WEST TEXAS MEDICAL CARE
Street 3001 N FAUDREE ROAD
City ODESSA
State TX
ZIP 79765
Phone 432 614-6228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director SCOTTY R. ORTEGA

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