45D1015603 CLIA NUMBER - MATTISON PATHOLOGY

Laboratory Demographics

  • CLIA Code: 45D1015603
  • Facility Name: MATTISON PATHOLOGY
  • Facility Address: 4642 N LOOP 289 SUITE 205
    LUBBOCK, TX
    ZIP 79416
  • Facility Phone: 360 527-2800
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. RODNEY W. STUART
  • NPI Number: 1063619922
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 45D1015603
LAB Type Independent
Facility Name MATTISON PATHOLOGY
Street 4642 N LOOP 289 SUITE 205
City LUBBOCK
State TX
ZIP 79416
Phone 360 527-2800
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Independent
Lab Director DR. RODNEY W. STUART

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