45D2220505 CLIA NUMBER - ELITE IVF AND FERTILITY SOLUTIONS LLC/BASIN FERTILITY LAB

Laboratory Demographics

  • CLIA Code: 45D2220505
  • Facility Name: ELITE IVF AND FERTILITY SOLUTIONS LLC/BASIN FERTILITY LAB
  • Facility Address: 420 E 6TH STREET SUITE 101
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 614-6376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RIZWAN MALIK
  • NPI Number: 1235856048
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2220505
LAB Type Physician Office
Facility Name ELITE IVF AND FERTILITY SOLUTIONS LLC/BASIN FERTILITY LAB
Street 420 E 6TH STREET SUITE 101
City ODESSA
State TX
ZIP 79761
Phone 432 614-6376
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director RIZWAN MALIK

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