45D0985682 CLIA NUMBER - NORTHSTAR SURGICAL CENTER LP

Laboratory Demographics

  • CLIA Code: 45D0985682
  • Facility Name: NORTHSTAR SURGICAL CENTER LP
  • Facility Address: 4640 NORTH LOOP 289
    LUBBOCK, TX
    ZIP 79416
  • Facility Phone: 806 472-3899
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Microscopy
  • Lab Director: DR. RODNEY STUART
  • NPI Number: 1932104064
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0985682
LAB Type Ambulatory Surgery Center
Facility Name NORTHSTAR SURGICAL CENTER LP
Street 4640 NORTH LOOP 289
City LUBBOCK
State TX
ZIP 79416
Phone 806 472-3899
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. RODNEY STUART

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