45D0954190 CLIA NUMBER - AMIGOS PHARMACY #503

Laboratory Demographics

  • CLIA Code: 45D0954190
  • Facility Name: AMIGOS PHARMACY #503
  • Facility Address: 112 NORTH UNIVERSITY AVENUE
    LUBBOCK, TX
    ZIP 79415
  • Facility Phone: 806 763-5908
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS LONGBINE
  • NPI Number: 1033100557
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0954190
LAB Type Pharmacy
Facility Name AMIGOS PHARMACY #503
Street 112 NORTH UNIVERSITY AVENUE
City LUBBOCK
State TX
ZIP 79415
Phone 806 763-5908
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Pharmacy
Lab Director CHRIS LONGBINE

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