45D2094466 CLIA NUMBER - MONTANA VISTA DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2094466
  • Facility Name: MONTANA VISTA DIALYSIS
  • Facility Address: 2204 JOE BATTLE BLVD STE A
    EL PASO, TX
    ZIP 79938
  • Facility Phone: 915 849-8374
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALFREDO GONZALEZ
  • NPI Number: 1588802102
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2094466
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MONTANA VISTA DIALYSIS
Street 2204 JOE BATTLE BLVD STE A
City EL PASO
State TX
ZIP 79938
Phone 915 849-8374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALFREDO GONZALEZ

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