45D0916141 CLIA NUMBER - ABILENE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 45D0916141
  • Facility Name: ABILENE ENDOSCOPY CENTER
  • Facility Address: 1249 AMBLER, SUITE 100
    ABILENE, TX
    ZIP 79601
  • Facility Phone: 325 677-2626
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GARY D. ROARK MD
  • NPI Number: 1265723472
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0916141
LAB Type Ambulatory Surgery Center
Facility Name ABILENE ENDOSCOPY CENTER
Street 1249 AMBLER, SUITE 100
City ABILENE
State TX
ZIP 79601
Phone 325 677-2626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Ambulatory Surgery Center
Lab Director GARY D. ROARK MD

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