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45D2138489 CLIA NUMBER - MOUNTAIN PASS DIALYSIS

Laboratory Demographics

CLIA Number: 45D2138489

Facility Name: MOUNTAIN PASS DIALYSIS

Facility Address:
5612 DYER ST
EL PASO, TX
ZIP 79904
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Facility Phone Number: 915 564-5052

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1255407441

Taxonomy: 207N00000X - Dermatology
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

CLIA Record

Field Name Field Value
CLIA Number 45D2138489
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MOUNTAIN PASS DIALYSIS
Street 5612 DYER ST
City EL PASO
State TX
ZIP 79904
Phone 915 564-5052
CertificateType 4
CertificateEffectiveDate 10/18/2023
CertificateExpirationDate 10/17/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024