45D2316661 CLIA NUMBER - MEDIMOUNT CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 45D2316661
  • Facility Name: MEDIMOUNT CLINIC PLLC
  • Facility Address: 7470 CIMARRON PLAZA, BUILDING 17, SUITE 300
    EL PASO, TX
    ZIP 79911
  • Facility Phone: 915 249-3958
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA G. ZAMORA
  • NPI Number: 1932807864
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2316661
LAB Type Physician Office
Facility Name MEDIMOUNT CLINIC PLLC
Street 7470 CIMARRON PLAZA, BUILDING 17, SUITE 300
City EL PASO
State TX
ZIP 79911
Phone 915 249-3958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director MELISSA G. ZAMORA

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