45D1079728 CLIA NUMBER - RONNELLE BURLEY MD

Laboratory Demographics

  • CLIA Code: 45D1079728
  • Facility Name: RONNELLE BURLEY MD
  • Facility Address: 3706 22ND PLACE
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 722-1253
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RONNELLE S. BURLEY
  • NPI Number: 1982806261
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1079728
LAB Type Physician Office
Facility Name RONNELLE BURLEY MD
Street 3706 22ND PLACE
City LUBBOCK
State TX
ZIP 79410
Phone 806 722-1253
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director RONNELLE S. BURLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025