45D1086390 CLIA NUMBER - SOUTHWEST REGIONAL PCR LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 45D1086390
  • Facility Name: SOUTHWEST REGIONAL PCR LABORATORY LLC
  • Facility Address: 6901 QUAKER AVE, SUITE 200
    LUBBOCK, TX
    ZIP 79413
  • Facility Phone: 806 370-2028
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. OWATHA L. TATUM
  • NPI Number: 1073776860
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D1086390
LAB Type Independent
Facility Name SOUTHWEST REGIONAL PCR LABORATORY LLC
Street 6901 QUAKER AVE, SUITE 200
City LUBBOCK
State TX
ZIP 79413
Phone 806 370-2028
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Independent
Lab Director DR. OWATHA L. TATUM

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