45D2120000 CLIA NUMBER - TEXAS TECH PHYSICIAN ASSOC TRANSMOUNTAIN PRACTICE

Laboratory Demographics

  • CLIA Code: 45D2120000
  • Facility Name: TEXAS TECH PHYSICIAN ASSOC TRANSMOUNTAIN PRACTICE
  • Facility Address: 2000 B TRANSMOUNTAIN ROAD, ROOM B400
    EL PASO, TX
    ZIP 79911
  • Facility Phone: 915 215-8410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY P. CATINELLA
  • NPI Number: 1255789616
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2120000
LAB Type Physician Office
Facility Name TEXAS TECH PHYSICIAN ASSOC TRANSMOUNTAIN PRACTICE
Street 2000 B TRANSMOUNTAIN ROAD, ROOM B400
City EL PASO
State TX
ZIP 79911
Phone 915 215-8410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director ANTHONY P. CATINELLA

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This page was last updated on: 3/20/2025