45D2138028 CLIA NUMBER - TRANSMOUNTAIN PRIMARY CARE PA

Laboratory Demographics

  • CLIA Code: 45D2138028
  • Facility Name: TRANSMOUNTAIN PRIMARY CARE PA
  • Facility Address: 13001 EASTLAKE BLVD STES 105-106
    EL PASO, TX
    ZIP 79928
  • Facility Phone: 915 248-2345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE A. MARIN
  • NPI Number: 1891235370
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2138028
LAB Type Physician Office
Facility Name TRANSMOUNTAIN PRIMARY CARE PA
Street 13001 EASTLAKE BLVD STES 105-106
City EL PASO
State TX
ZIP 79928
Phone 915 248-2345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Physician Office
Lab Director JOSE A. MARIN

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