45D1014112 CLIA NUMBER - OCC-MED ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D1014112
  • Facility Name: OCC-MED ASSOCIATES
  • Facility Address: 54TH & AVE Q #25 BRIERCROFT OFFICE PARK
    LUBBOCK, TX
    ZIP 79412
  • Facility Phone: 806 795-7433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROWENA ARCHIBALD MD
  • NPI Number: 1174653851
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1014112
LAB Type Physician Office
Facility Name OCC-MED ASSOCIATES
Street 54TH & AVE Q #25 BRIERCROFT OFFICE PARK
City LUBBOCK
State TX
ZIP 79412
Phone 806 795-7433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Physician Office
Lab Director ROWENA ARCHIBALD MD

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