45D2300809 CLIA NUMBER - SMART TESTING LABS & PHYSICIAN CARE PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 45D2300809
  • Facility Name: SMART TESTING LABS & PHYSICIAN CARE PRACTICE PLLC
  • Facility Address: 12350 MONTWOOD DRIVE SUITE 300
    EL PASO, TX
    ZIP 79928
  • Facility Phone: 915 800-1115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD KHAN
  • NPI Number: 1710749825
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2300809
LAB Type Physician Office
Facility Name SMART TESTING LABS & PHYSICIAN CARE PRACTICE PLLC
Street 12350 MONTWOOD DRIVE SUITE 300
City EL PASO
State TX
ZIP 79928
Phone 915 800-1115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director MUHAMMAD KHAN

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