45D2221494 CLIA NUMBER - ECTOR COUNTY HOSPITAL DISTRICT DBA MCH FAMILY HEALTH CLINIC - JBS

Laboratory Demographics

  • CLIA Code: 45D2221494
  • Facility Name: ECTOR COUNTY HOSPITAL DISTRICT DBA MCH FAMILY HEALTH CLINIC - JBS
  • Facility Address: 3001 JOHN BEN SHEPPARD PKWY STE 100
    ODESSA, TX
    ZIP 79762
  • Facility Phone: 432 640-4868
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SREEDEVI GODEY
  • NPI Number: 1366680555
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2221494
LAB Type Federally Qualified Health Center
Facility Name ECTOR COUNTY HOSPITAL DISTRICT DBA MCH FAMILY HEALTH CLINIC - JBS
Street 3001 JOHN BEN SHEPPARD PKWY STE 100
City ODESSA
State TX
ZIP 79762
Phone 432 640-4868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Federally Qualified Health Center
Lab Director SREEDEVI GODEY

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