45D2290100 CLIA NUMBER - LA MENTE BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 45D2290100
  • Facility Name: LA MENTE BEHAVIORAL HEALTH
  • Facility Address: 6600 MONTANA AVE STE P
    EL PASO, TX
    ZIP 79925
  • Facility Phone: 915 201-0199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA VALDIVIEZO
  • NPI Number: 1568075802
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 45D2290100
LAB Type Physician Office
Facility Name LA MENTE BEHAVIORAL HEALTH
Street 6600 MONTANA AVE STE P
City EL PASO
State TX
ZIP 79925
Phone 915 201-0199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director LISA VALDIVIEZO

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