45D2152860 CLIA NUMBER - EAGLE PASS CORRECTIONAL FACILITY

Laboratory Demographics

  • CLIA Code: 45D2152860
  • Facility Name: EAGLE PASS CORRECTIONAL FACILITY
  • Facility Address: 742 TX 131
    EAGLE PASS, TX
    ZIP 78852
  • Facility Phone: 830 752-6500
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: JOHANNA TRISTAN
  • NPI Number: 1780138081
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2152860
LAB Type Prison
Facility Name EAGLE PASS CORRECTIONAL FACILITY
Street 742 TX 131
City EAGLE PASS
State TX
ZIP 78852
Phone 830 752-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Prison
Lab Director JOHANNA TRISTAN

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