45D0927192 CLIA NUMBER - ELIAS GHANDOUR, MD

Laboratory Demographics

  • CLIA Code: 45D0927192
  • Facility Name: ELIAS GHANDOUR, MD
  • Facility Address: 10208 QUAKER AVE, STE 200
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: 806 795-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIAS GHANDOUR MD
  • NPI Number: 1699719138
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0927192
LAB Type Physician Office
Facility Name ELIAS GHANDOUR, MD
Street 10208 QUAKER AVE, STE 200
City LUBBOCK
State TX
ZIP 79424
Phone 806 795-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director ELIAS GHANDOUR MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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