45D2086814 CLIA NUMBER - COLVIN PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 45D2086814
  • Facility Name: COLVIN PAIN MANAGEMENT
  • Facility Address: 4642 N LOOP 289 STE 209
    LUBBOCK, TX
    ZIP 79416
  • Facility Phone: 806 797-4596
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFRET N. COLVIN
  • NPI Number: 1619386729
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2086814
LAB Type Physician Office
Facility Name COLVIN PAIN MANAGEMENT
Street 4642 N LOOP 289 STE 209
City LUBBOCK
State TX
ZIP 79416
Phone 806 797-4596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director JEFFRET N. COLVIN

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