45D1099721 CLIA NUMBER - TEXAS TECH FREE CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 45D1099721
LAB Type Other - 501 C FREE CLINIC
Facility Name TEXAS TECH FREE CLINIC
Street 2707 34TH
City LUBBOCK
State TX
ZIP 79410
Phone 806 799-4329
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 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Other - 501 C FREE CLINIC
Lab Director DR. KELLY A. BENNETT

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This page was last updated on: 6/4/2025