45D0507060 CLIA NUMBER - HIGH PLAINS DERMATOLOGY CENTER PA

Laboratory Demographics

  • CLIA Code: 45D0507060
  • Facility Name: HIGH PLAINS DERMATOLOGY CENTER PA
  • Facility Address: 4302 WOLFLIN AVE
    AMARILLO, TX
    ZIP 79106
  • Facility Phone: 806 355-9866
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JASON K. JONES
  • NPI Number: 1205897360
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D0507060
LAB Type Physician Office
Facility Name HIGH PLAINS DERMATOLOGY CENTER PA
Street 4302 WOLFLIN AVE
City AMARILLO
State TX
ZIP 79106
Phone 806 355-9866
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 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director JASON K. JONES

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