45D2276895 CLIA NUMBER - SUMMIT SURGICAL CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 45D2276895
  • Facility Name: SUMMIT SURGICAL CENTER, PLLC
  • Facility Address: 959 SUNLAND PARK DR, STE A
    EL PASO, TX
    ZIP 79922
  • Facility Phone: 866 991-9030
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK J. GALLARDO
  • NPI Number: 1871252809
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2276895
LAB Type Ambulatory Surgery Center
Facility Name SUMMIT SURGICAL CENTER, PLLC
Street 959 SUNLAND PARK DR, STE A
City EL PASO
State TX
ZIP 79922
Phone 866 991-9030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Ambulatory Surgery Center
Lab Director MARK J. GALLARDO

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