45D2121480 CLIA NUMBER - EL PASO FAMILY AND PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 45D2121480
  • Facility Name: EL PASO FAMILY AND PEDIATRIC CLINIC
  • Facility Address: 12410 MONTWOOD DR
    EL PASO, TX
    ZIP 79928
  • Facility Phone: 915 231-6224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAUL ZAYAS
  • NPI Number: 1215488085
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2121480
LAB Type Physician Office
Facility Name EL PASO FAMILY AND PEDIATRIC CLINIC
Street 12410 MONTWOOD DR
City EL PASO
State TX
ZIP 79928
Phone 915 231-6224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director DR. RAUL ZAYAS

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