45D2154882 CLIA NUMBER - EL PASO HEALTH II, LLC

Laboratory Demographics

  • CLIA Code: 45D2154882
  • Facility Name: EL PASO HEALTH II, LLC
  • Facility Address: 1120 MCRAE BLVD, BUILDING D
    EL PASO, TX
    ZIP 79925
  • Facility Phone: 915 591-0053
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALFONSO CHAVEZ
  • NPI Number: 1215982103
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2154882
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EL PASO HEALTH II, LLC
Street 1120 MCRAE BLVD, BUILDING D
City EL PASO
State TX
ZIP 79925
Phone 915 591-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALFONSO CHAVEZ

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