45D0507799 CLIA NUMBER - LUBBOCK UROLOGY

Laboratory Demographics

  • CLIA Code: 45D0507799
  • Facility Name: LUBBOCK UROLOGY
  • Facility Address: 6102 82ND STREET # 5
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: (806) 771-0077
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JORGE R. BROTHERS
  • NPI Number: 1629012844
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D0507799
LAB Type Physician Office
Facility Name LUBBOCK UROLOGY
Street 6102 82ND STREET # 5
City LUBBOCK
State TX
ZIP 79424
Phone 8067710077
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2025
Certificate Expiration Date 12/22/2027
Facility Type Physician Office
Lab Director DR. JORGE R. BROTHERS

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This page was last updated on: 6/29/2026