45D1034925 CLIA NUMBER - CCA CATH LAB,LLC

Laboratory Demographics

  • CLIA Code: 45D1034925
  • Facility Name: CCA CATH LAB,LLC
  • Facility Address: 6200 I 40 WEST SUITE 200
    AMARILLO, TX
    ZIP 79106
  • Facility Phone: 806 354-9764
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAVID BRABHAM
  • NPI Number: 1740613116
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1034925
LAB Type Physician Office
Facility Name CCA CATH LAB,LLC
Street 6200 I 40 WEST SUITE 200
City AMARILLO
State TX
ZIP 79106
Phone 806 354-9764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director DR. DAVID BRABHAM

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