45D1018927 CLIA NUMBER - BIG BEND MEDICAL GROUP DBA SCENIC MOUNTAIN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 45D1018927
  • Facility Name: BIG BEND MEDICAL GROUP DBA SCENIC MOUNTAIN MEDICAL GROUP
  • Facility Address: 1501 WEST 11TH PLACE, SUITE 200
    BIG SPRING, TX
    ZIP 79720
  • Facility Phone: 432 264-7180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEE ERICH BYERLY
  • NPI Number: 1578024303
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1018927
LAB Type Physician Office
Facility Name BIG BEND MEDICAL GROUP DBA SCENIC MOUNTAIN MEDICAL GROUP
Street 1501 WEST 11TH PLACE, SUITE 200
City BIG SPRING
State TX
ZIP 79720
Phone 432 264-7180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director LEE ERICH BYERLY

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