45D2235205 CLIA NUMBER - WOMENS WELLNESS OF WEST TEXAS

Laboratory Demographics

CLIA Number: 45D2235205

Facility Name: WOMENS WELLNESS OF WEST TEXAS

Facility Address:
617 NORTH TOM GREEN AVENUE
ODESSA, TX
ZIP 79761
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Facility Phone Number: 432 333-2229

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750057014

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	45D2235205
LAB Type	Physician Office
Facility Name	WOMENS WELLNESS OF WEST TEXAS
Street	617 NORTH TOM GREEN AVENUE
City	ODESSA
State	TX
ZIP	79761
Phone	432 333-2229
CertificateType	4
CertificateEffectiveDate	9/7/2023
CertificateExpirationDate	9/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024