45D2227460 CLIA NUMBER - 915 PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 45D2227460
  • Facility Name: 915 PEDIATRICS PLLC
  • Facility Address: 3261 JOE BATTLE BLVD STE B
    EL PASO, TX
    ZIP 79936
  • Facility Phone: 915 257-5862
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GILBERTO GOMEZ
  • NPI Number: 1114526050
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2227460
LAB Type Physician Office
Facility Name 915 PEDIATRICS PLLC
Street 3261 JOE BATTLE BLVD STE B
City EL PASO
State TX
ZIP 79936
Phone 915 257-5862
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director GILBERTO GOMEZ

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