45D2279277 CLIA NUMBER - BASIN PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 45D2279277
  • Facility Name: BASIN PEDIATRICS LLC
  • Facility Address: 4410 N MIDKIFF RD STE D-4
    MIDLAND, TX
    ZIP 79705
  • Facility Phone: 432 218-8899
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KEVIN E. SALAS
  • NPI Number: 1033825203
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2279277
LAB Type Practitioner Other
Facility Name BASIN PEDIATRICS LLC
Street 4410 N MIDKIFF RD STE D-4
City MIDLAND
State TX
ZIP 79705
Phone 432 218-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Practitioner Other
Lab Director KEVIN E. SALAS

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This page was last updated on: 6/4/2025