45D0507011 CLIA NUMBER - BSA AMARILLO DIAGNOSTIC CLINIC,INC

Laboratory Demographics

  • CLIA Code: 45D0507011
  • Facility Name: BSA AMARILLO DIAGNOSTIC CLINIC,INC
  • Facility Address: 6700 W 9TH
    AMARILLO, TX
    ZIP 79106
  • Facility Phone: 806 358-0280
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: KIMBERLY D. LEGGETT
  • NPI Number: 1134559826
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0507011
LAB Type Practitioner Other
Facility Name BSA AMARILLO DIAGNOSTIC CLINIC,INC
Street 6700 W 9TH
City AMARILLO
State TX
ZIP 79106
Phone 806 358-0280
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Practitioner Other
Lab Director KIMBERLY D. LEGGETT

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