45D0709408 CLIA NUMBER - CARILLON

Laboratory Demographics

  • CLIA Code: 45D0709408
  • Facility Name: CARILLON
  • Facility Address: 1717 A NORFOLK AVENUE
    LUBBOCK, TX
    ZIP 79416
  • Facility Phone: 806 791-6000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RITA AVERY
  • NPI Number: 1437386273
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0709408
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARILLON
Street 1717 A NORFOLK AVENUE
City LUBBOCK
State TX
ZIP 79416
Phone 806 791-6000
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 Skilled Nursing Facility/Nursing Facility
Lab Director RITA AVERY

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