45D2084376 CLIA NUMBER - PEDIATRIC PARTNERS EL PASO,PA

Laboratory Demographics

  • CLIA Code: 45D2084376
  • Facility Name: PEDIATRIC PARTNERS EL PASO,PA
  • Facility Address: 1390 GEORGE DIETER STE 100
    EL PASO, TX
    ZIP 79936
  • Facility Phone: 915 591-7704
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE PRIETO JR
  • NPI Number: 1144630682
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2084376
LAB Type Physician Office
Facility Name PEDIATRIC PARTNERS EL PASO,PA
Street 1390 GEORGE DIETER STE 100
City EL PASO
State TX
ZIP 79936
Phone 915 591-7704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director JOSE PRIETO JR

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