45D2093703 CLIA NUMBER - ABILENE SPORTS MEDICINE & ORTHOPEDICS

Laboratory Demographics

  • CLIA Code: 45D2093703
  • Facility Name: ABILENE SPORTS MEDICINE & ORTHOPEDICS
  • Facility Address: 2074 ANTILLEY ROAD
    ABILENE, TX
    ZIP 79606
  • Facility Phone: 325 698-3865
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLIFFORD L. DEPRANG
  • NPI Number: 1336270131
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 45D2093703
LAB Type Physician Office
Facility Name ABILENE SPORTS MEDICINE & ORTHOPEDICS
Street 2074 ANTILLEY ROAD
City ABILENE
State TX
ZIP 79606
Phone 325 698-3865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director CLIFFORD L. DEPRANG

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