45D2106794 CLIA NUMBER - PROCARE ODESSA, LLC DBA EXCEL ER ODESSA

Laboratory Demographics

  • CLIA Code: 45D2106794
  • Facility Name: PROCARE ODESSA, LLC DBA EXCEL ER ODESSA
  • Facility Address: 6131 TX-191 FRONTAGE ROAD
    ODESSA, TX
    ZIP 79762
  • Facility Phone: 832 725-6717
  • Facility Type: Other - FSER
  • Facility Type: Accreditation
  • Lab Director: DR. IKECHUKWU H. OKORIE
  • NPI Number: 1508255886
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2106794
LAB Type Other - FSER
Facility Name PROCARE ODESSA, LLC DBA EXCEL ER ODESSA
Street 6131 TX-191 FRONTAGE ROAD
City ODESSA
State TX
ZIP 79762
Phone 832 725-6717
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Other - FSER
Lab Director DR. IKECHUKWU H. OKORIE

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