45D1053326 CLIA NUMBER - COMMUNITY HEALTH CENTER OF LUBBOCK

Laboratory Demographics

CLIA Number: 45D1053326

Facility Name: COMMUNITY HEALTH CENTER OF LUBBOCK

Facility Address:
1610 5TH STREET
LUBBOCK, TX
ZIP 79401
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Facility Phone Number: 806 765-2611

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1356460554

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1053326
LAB Type	Federally Qualified Health Center
Facility Name	COMMUNITY HEALTH CENTER OF LUBBOCK
Street	1610 5TH STREET
City	LUBBOCK
State	TX
ZIP	79401
Phone	806 765-2611
CertificateType	3
CertificateEffectiveDate	4/20/2024
CertificateExpirationDate	4/19/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024