45D0985682 CLIA NUMBER - NORTHSTAR SURGICAL CENTER LP

Laboratory Demographics

CLIA Number: 45D0985682

Facility Name: NORTHSTAR SURGICAL CENTER LP

Facility Address:
4640 NORTH LOOP 289
LUBBOCK, TX
ZIP 79416
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Facility Phone Number: 806 472-3899

Facility Type: Ambulatory Surgery Center

Certificate Type: Microscopy

NPI Number: 1932104064

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType 3
CertificateEffectiveDate 4/25/2023
CertificateExpirationDate 4/24/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024