45D2201098 CLIA NUMBER - MORRIS SMITH NP

Laboratory Demographics

  • CLIA Code: 45D2201098
  • Facility Name: MORRIS SMITH NP
  • Facility Address: 4409 N GRANDVIEW
    ODESSA, TX
    ZIP 79762
  • Facility Phone: 432 366-9571
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MORRIS A. SMITH
  • NPI Number: 1043546351
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2201098
LAB Type Practitioner Other
Facility Name MORRIS SMITH NP
Street 4409 N GRANDVIEW
City ODESSA
State TX
ZIP 79762
Phone 432 366-9571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Practitioner Other
Lab Director MORRIS A. SMITH

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