45D0882630 CLIA NUMBER - SOUTH PLAINS ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 45D0882630
  • Facility Name: SOUTH PLAINS ENDOSCOPY CENTER
  • Facility Address: 3610 24TH STREET
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 797-1015
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TIMOTHY MILLER
  • NPI Number: 1568419323
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0882630
LAB Type Ambulatory Surgery Center
Facility Name SOUTH PLAINS ENDOSCOPY CENTER
Street 3610 24TH STREET
City LUBBOCK
State TX
ZIP 79410
Phone 806 797-1015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Ambulatory Surgery Center
Lab Director TIMOTHY MILLER

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