45D2014766 CLIA NUMBER - ABILENE CHRISTIAN UNIVERSITY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 45D2014766
  • Facility Name: ABILENE CHRISTIAN UNIVERSITY MEDICAL CLINIC
  • Facility Address: 849 COLISEUM WAY
    ABILENE, TX
    ZIP 79699
  • Facility Phone: 325 674-2625
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CHAD D. EZZELL
  • NPI Number: 1831591395
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2014766
LAB Type School/Student Health Service
Facility Name ABILENE CHRISTIAN UNIVERSITY MEDICAL CLINIC
Street 849 COLISEUM WAY
City ABILENE
State TX
ZIP 79699
Phone 325 674-2625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type School/Student Health Service
Lab Director CHAD D. EZZELL

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