45D2309028 CLIA NUMBER - ALFREDO MADRID PLLC

Laboratory Demographics

  • CLIA Code: 45D2309028
  • Facility Name: ALFREDO MADRID PLLC
  • Facility Address: 1420 GERONIMO DRIVE, BUILDING C, SUITE B
    EL PASO, TX
    ZIP 79925
  • Facility Phone: 915 343-9702
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALFREDO MADRID
  • NPI Number: 1649815978
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2309028
LAB Type Physician Office
Facility Name ALFREDO MADRID PLLC
Street 1420 GERONIMO DRIVE, BUILDING C, SUITE B
City EL PASO
State TX
ZIP 79925
Phone 915 343-9702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director ALFREDO MADRID

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