45D2208894 CLIA NUMBER - MEDICAL VIP SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 45D2208894
  • Facility Name: MEDICAL VIP SERVICES PLLC
  • Facility Address: 2829 MONTANA SUITE 218
    EL PASO, TX
    ZIP 79903
  • Facility Phone: 915 487-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT M. GUTIERREZ
  • NPI Number: 1063209732
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2208894
LAB Type Physician Office
Facility Name MEDICAL VIP SERVICES PLLC
Street 2829 MONTANA SUITE 218
City EL PASO
State TX
ZIP 79903
Phone 915 487-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director ROBERT M. GUTIERREZ

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