45D0506962 CLIA NUMBER - HAGOS TEKESTE MD

Laboratory Demographics

  • CLIA Code: 45D0506962
  • Facility Name: HAGOS TEKESTE MD
  • Facility Address: 1901 MEDI-PARK DRIVE, SUITE 1055
    AMARILLO, TX
    ZIP 79106
  • Facility Phone: 806 356-2260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAGOS TEKESTE
  • NPI Number: 1285742882
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0506962
LAB Type Physician Office
Facility Name HAGOS TEKESTE MD
Street 1901 MEDI-PARK DRIVE, SUITE 1055
City AMARILLO
State TX
ZIP 79106
Phone 806 356-2260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director HAGOS TEKESTE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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