45D1003859 CLIA NUMBER - BENDER TERRACE

Laboratory Demographics

  • CLIA Code: 45D1003859
  • Facility Name: BENDER TERRACE
  • Facility Address: 4510 27TH STREET
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 795-4368
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EDWARD L. BOYLES
  • NPI Number: 1508999632
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D1003859
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BENDER TERRACE
Street 4510 27TH STREET
City LUBBOCK
State TX
ZIP 79410
Phone 806 795-4368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director EDWARD L. BOYLES

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