45D2049854 CLIA NUMBER - SOUTHWEST SPORTS MEDICINE ORTHOPEDICS

Laboratory Demographics

  • CLIA Code: 45D2049854
  • Facility Name: SOUTHWEST SPORTS MEDICINE ORTHOPEDICS
  • Facility Address: 1500 S UNIVERSITY PARKS DRIVE
    WACO, TX
    ZIP 76706
  • Facility Phone: 254 741-1400
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER MIARS
  • NPI Number: 1740349661
  • Taxonomy: 207XX0005X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2049854
LAB Type School/Student Health Service
Facility Name SOUTHWEST SPORTS MEDICINE ORTHOPEDICS
Street 1500 S UNIVERSITY PARKS DRIVE
City WACO
State TX
ZIP 76706
Phone 254 741-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type School/Student Health Service
Lab Director CHRISTOPHER MIARS

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