45D1062151 CLIA NUMBER - PROFFER SURGICAL ASSOCIATES LLP

Laboratory Demographics

  • CLIA Code: 45D1062151
  • Facility Name: PROFFER SURGICAL ASSOCIATES LLP
  • Facility Address: 1611 WALLACE
    AMARILLO, TX
    ZIP 79106
  • Facility Phone: 806 354-4900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LIANA H. PROFFER
  • NPI Number: 1164986683
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1062151
LAB Type Physician Office
Facility Name PROFFER SURGICAL ASSOCIATES LLP
Street 1611 WALLACE
City AMARILLO
State TX
ZIP 79106
Phone 806 354-4900
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 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director LIANA H. PROFFER

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