45D2236475 CLIA NUMBER - DESERT PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 45D2236475
  • Facility Name: DESERT PEDIATRICS LLC
  • Facility Address: 801 WYOMING AVE
    EL PASO, TX
    ZIP 79902
  • Facility Phone: 915 302-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON J. WANG
  • NPI Number: 1053951665
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2236475
LAB Type Physician Office
Facility Name DESERT PEDIATRICS LLC
Street 801 WYOMING AVE
City EL PASO
State TX
ZIP 79902
Phone 915 302-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director JASON J. WANG

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