45D2106771 CLIA NUMBER - GRACE CLINIC OF LUBBOCK

Laboratory Demographics

  • CLIA Code: 45D2106771
  • Facility Name: GRACE CLINIC OF LUBBOCK
  • Facility Address: 2424 50TH SUITE 202
    LUBBOCK, TX
    ZIP 79412
  • Facility Phone: 806 744-7223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN JANE SCOTT
  • NPI Number: 1558523357
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2106771
LAB Type Physician Office
Facility Name GRACE CLINIC OF LUBBOCK
Street 2424 50TH SUITE 202
City LUBBOCK
State TX
ZIP 79412
Phone 806 744-7223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Physician Office
Lab Director KAREN JANE SCOTT

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