45D2144481 CLIA NUMBER - AB PEDIATRIC HEALTH CLINIC, PLLC

Laboratory Demographics

CLIA Number: 45D2144481

Facility Name: AB PEDIATRIC HEALTH CLINIC, PLLC

Facility Address:
1400 N EL PASO ST SUITE E
EL PASO, TX
ZIP 79902
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Facility Phone Number: 915 577-0455

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447789250

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	45D2144481
LAB Type	Physician Office
Facility Name	AB PEDIATRIC HEALTH CLINIC, PLLC
Street	1400 N EL PASO ST SUITE E
City	EL PASO
State	TX
ZIP	79902
Phone	915 577-0455
CertificateType	4
CertificateEffectiveDate	2/16/2024
CertificateExpirationDate	2/15/2026
FacilityType	Waiver

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