45D2312328 CLIA NUMBER - HECTOR LUCAS RODRIGUEZ GONZALEZ PA

Laboratory Demographics

  • CLIA Code: 45D2312328
  • Facility Name: HECTOR LUCAS RODRIGUEZ GONZALEZ PA
  • Facility Address: 2311 N MESA STREET SUITE D
    EL PASO, TX
    ZIP 79902
  • Facility Phone: 915 292-4626
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HECTOR L. RODRIGUEZ
  • NPI Number: 1215783220
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2312328
LAB Type Physician Office
Facility Name HECTOR LUCAS RODRIGUEZ GONZALEZ PA
Street 2311 N MESA STREET SUITE D
City EL PASO
State TX
ZIP 79902
Phone 915 292-4626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Physician Office
Lab Director HECTOR L. RODRIGUEZ

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