45D2049942 CLIA NUMBER - MACKENZIE PLACE

Laboratory Demographics

  • CLIA Code: 45D2049942
  • Facility Name: MACKENZIE PLACE
  • Facility Address: 8609 BOSTON AVENUE
    LUBBOCK, TX
    ZIP 79423
  • Facility Phone: 806 745-7770
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DAVID P. MARTIN
  • NPI Number: 1205952876
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2049942
LAB Type Assisted Living Facility
Facility Name MACKENZIE PLACE
Street 8609 BOSTON AVENUE
City LUBBOCK
State TX
ZIP 79423
Phone 806 745-7770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Assisted Living Facility
Lab Director DAVID P. MARTIN

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