45D2295235 CLIA NUMBER - ADVANCED ODESSA HOSPITAL & CLINICS, LLC

Laboratory Demographics

CLIA Number: 45D2295235

Facility Name: ADVANCED ODESSA HOSPITAL & CLINICS, LLC

Facility Address:
900 E. 4TH ST
ODESSA, TX
ZIP 79761
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Facility Phone Number: 979 480-4415

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1578972352

Taxonomy: 207VE0102X - Obstetrics & Gynecology
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

CLIA Record

Field Name	Field Value
CLIA Number	45D2295235
LAB Type	Hospital
Facility Name	ADVANCED ODESSA HOSPITAL & CLINICS, LLC
Street	900 E. 4TH ST
City	ODESSA
State	TX
ZIP	79761
Phone	979 480-4415
CertificateType	2
CertificateEffectiveDate	12/7/2023
CertificateExpirationDate	12/6/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024