45D2103123 CLIA NUMBER - REX FLETCHER MDPA

Laboratory Demographics

  • CLIA Code: 45D2103123
  • Facility Name: REX FLETCHER MDPA
  • Facility Address: 3501 S SONCY SUITE 110
    AMARILLO, TX
    ZIP 79119
  • Facility Phone: 806 353-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REX A. FLETCHER
  • NPI Number: 1013390004
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2103123
LAB Type Physician Office
Facility Name REX FLETCHER MDPA
Street 3501 S SONCY SUITE 110
City AMARILLO
State TX
ZIP 79119
Phone 806 353-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Physician Office
Lab Director REX A. FLETCHER

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This page was last updated on: 3/20/2025