45D1012061 CLIA NUMBER - BHUPESH DIHENIA MD PA

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Laboratory Demographics

CLIA Number: 45D1012061

Facility Name: BHUPESH DIHENIA MD PA

Facility Address:
3815 23RD STREET
LUBBOCK, TX
ZIP 79410
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Facility Phone Number: 806 722-3500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144619370

Taxonomy: 246Z00000X - Specialist/Technologist, Other
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

CLIA Record

Field Name	Field Value
CLIA Number	45D1012061
LAB Type	Physician Office
Facility Name	BHUPESH DIHENIA MD PA
Street	3815 23RD STREET
City	LUBBOCK
State	TX
ZIP	79410
Phone	806 722-3500
CertificateType	4
CertificateEffectiveDate	4/30/2023
CertificateExpirationDate	4/29/2025
FacilityType	Waiver

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