45D2159213 CLIA NUMBER - TRINITY FAMILY PRACTICE & URGENT CARE

Laboratory Demographics

  • CLIA Code: 45D2159213
  • Facility Name: TRINITY FAMILY PRACTICE & URGENT CARE
  • Facility Address: 6100 EASTRIDGE ROAD
    ODESSA, TX
    ZIP 79762
  • Facility Phone: 432 272-1072
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLIFFORD JANKE
  • NPI Number: 1750869194
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2159213
LAB Type Physician Office
Facility Name TRINITY FAMILY PRACTICE & URGENT CARE
Street 6100 EASTRIDGE ROAD
City ODESSA
State TX
ZIP 79762
Phone 432 272-1072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director CLIFFORD JANKE

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