45D2323756 CLIA NUMBER - PROFESSIONAL RADIOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 45D2323756
  • Facility Name: PROFESSIONAL RADIOLOGY PLLC
  • Facility Address: 643 S MESA HILLS STE B
    EL PASO, TX
    ZIP 79912
  • Facility Phone: 915 225-2480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE L. SARMIENTO
  • NPI Number: 1861918815
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2323756
LAB Type Physician Office
Facility Name PROFESSIONAL RADIOLOGY PLLC
Street 643 S MESA HILLS STE B
City EL PASO
State TX
ZIP 79912
Phone 915 225-2480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director JORGE L. SARMIENTO

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