45D2108817 CLIA NUMBER - AOMS OUTPATIENT SURGERY

Laboratory Demographics

  • CLIA Code: 45D2108817
  • Facility Name: AOMS OUTPATIENT SURGERY
  • Facility Address: 5051 S SONCY
    AMARILLO, TX
    ZIP 79119
  • Facility Phone: 806 353-1055
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM GRAVES
  • NPI Number: 1790218782
  • Taxonomy: 261QS0112X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2108817
LAB Type Ambulatory Surgery Center
Facility Name AOMS OUTPATIENT SURGERY
Street 5051 S SONCY
City AMARILLO
State TX
ZIP 79119
Phone 806 353-1055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. WILLIAM GRAVES

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