45D2119178 CLIA NUMBER - SOCORRO DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2119178
  • Facility Name: SOCORRO DIALYSIS
  • Facility Address: 10697 N LOOP DR
    EL PASO, TX
    ZIP 79927
  • Facility Phone: 915 633-1018
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SIMON S. RODRIGUEZ
  • NPI Number: 1932564010
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2119178
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOCORRO DIALYSIS
Street 10697 N LOOP DR
City EL PASO
State TX
ZIP 79927
Phone 915 633-1018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SIMON S. RODRIGUEZ

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