45D2015054 CLIA NUMBER - CITY OF LUBBOCK HEALTH DEPT STD CLINIC

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Laboratory Demographics

CLIA Number: 45D2015054

Facility Name: CITY OF LUBBOCK HEALTH DEPT STD CLINIC

Facility Address:
806 18TH ST
LUBBOCK, TX
ZIP 79401
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Facility Phone Number: 806 775-2908

Facility Type: Other - PUBLIC HEALTH STD CLINIC

Certificate Type: Waiver

NPI Number: 1528265535

Taxonomy: 261QP0905X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2015054
LAB Type	Other - PUBLIC HEALTH STD CLINIC
Facility Name	CITY OF LUBBOCK HEALTH DEPT STD CLINIC
Street	806 18TH ST
City	LUBBOCK
State	TX
ZIP	79401
Phone	806 775-2908
CertificateType	4
CertificateEffectiveDate	10/21/2022
CertificateExpirationDate	10/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024