45D1071323 CLIA NUMBER - LUBBOCK NEPHROLOGY ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 45D1071323
  • Facility Name: LUBBOCK NEPHROLOGY ASSOCIATES PA
  • Facility Address: 3807 22ND PLACE #A
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 771-7412
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAYBIN SIMFUKWE
  • NPI Number: 1760681001
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1071323
LAB Type Physician Office
Facility Name LUBBOCK NEPHROLOGY ASSOCIATES PA
Street 3807 22ND PLACE #A
City LUBBOCK
State TX
ZIP 79410
Phone 806 771-7412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Physician Office
Lab Director MAYBIN SIMFUKWE

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