45D2142635 CLIA NUMBER - DWAYNE FRIDAY MD LLC

Laboratory Demographics

  • CLIA Code: 45D2142635
  • Facility Name: DWAYNE FRIDAY MD LLC
  • Facility Address: 811 CHELSEA ST STE B
    EL PASO, TX
    ZIP 79903
  • Facility Phone: 915 259-1390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DWAYNE FRIDAY
  • NPI Number: 1619490133
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2142635
LAB Type Physician Office
Facility Name DWAYNE FRIDAY MD LLC
Street 811 CHELSEA ST STE B
City EL PASO
State TX
ZIP 79903
Phone 915 259-1390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director DWAYNE FRIDAY

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