45D2264905 CLIA NUMBER - ADVANCED CENTER FOR WOMEN'S HEALTH AT PROVIDENCE-UROGYN

Laboratory Demographics

  • CLIA Code: 45D2264905
  • Facility Name: ADVANCED CENTER FOR WOMEN'S HEALTH AT PROVIDENCE-UROGYN
  • Facility Address: 3270 JOE BATTLE SUITE 265
    EL PASO, TX
    ZIP 79938
  • Facility Phone: 915 271-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA HERNANDEZ
  • NPI Number: 1831841766
  • Taxonomy: 152WL0500X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2264905
LAB Type Physician Office
Facility Name ADVANCED CENTER FOR WOMEN'S HEALTH AT PROVIDENCE-UROGYN
Street 3270 JOE BATTLE SUITE 265
City EL PASO
State TX
ZIP 79938
Phone 915 271-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director SANDRA HERNANDEZ

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