45D2320156 CLIA NUMBER - BOLD BEAUTY HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 45D2320156
  • Facility Name: BOLD BEAUTY HEALTH AND WELLNESS
  • Facility Address: 3427 PERSHING DR
    EL PASO, TX
    ZIP 79903
  • Facility Phone: 915 202-1190
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. FERNANDO AVILES
  • NPI Number: 1841098886
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2320156
LAB Type Physician Office
Facility Name BOLD BEAUTY HEALTH AND WELLNESS
Street 3427 PERSHING DR
City EL PASO
State TX
ZIP 79903
Phone 915 202-1190
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director DR. FERNANDO AVILES

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