45D2315956 CLIA NUMBER - HECTOR GRANADOS, MD

Laboratory Demographics

  • CLIA Code: 45D2315956
  • Facility Name: HECTOR GRANADOS, MD
  • Facility Address: 1201 N MESA ST SUITE G
    EL PASO, TX
    ZIP 79902
  • Facility Phone: 915 642-9444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HECTOR GRANADOS MD
  • NPI Number: 1154616068
  • Taxonomy: 2080P0205X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2315956
LAB Type Physician Office
Facility Name HECTOR GRANADOS, MD
Street 1201 N MESA ST SUITE G
City EL PASO
State TX
ZIP 79902
Phone 915 642-9444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Physician Office
Lab Director HECTOR GRANADOS MD

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