45D1028036 CLIA NUMBER - LUBBOCK SPORTS MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D1028036
  • Facility Name: LUBBOCK SPORTS MEDICINE ASSOCIATES
  • Facility Address: 4110 22ND PLACE
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: (806) 792-4329
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN A. COND
  • NPI Number: 1902842404
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D1028036
LAB Type Physician Office
Facility Name LUBBOCK SPORTS MEDICINE ASSOCIATES
Street 4110 22ND PLACE
City LUBBOCK
State TX
ZIP 79410
Phone 8067924329
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director STEPHEN A. COND

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This page was last updated on: 5/18/2026