45D2112898 CLIA NUMBER - STAR ER,LLC

Laboratory Demographics

CLIA Number: 45D2112898

Facility Name: STAR ER,LLC

Facility Address:
7007 INDIANA AVE
LUBBOCK, TX
ZIP 79413
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Facility Phone Number: 806 701-4141

Facility Type: Other - FSED

Certificate Type: Certificate of Compliance

NPI Number: 1093180804

Taxonomy: 261QE0002X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2112898
LAB Type	Other - FSED
Facility Name	STAR ER,LLC
Street	7007 INDIANA AVE
City	LUBBOCK
State	TX
ZIP	79413
Phone	806 701-4141
CertificateType	2
CertificateEffectiveDate	1/6/2024
CertificateExpirationDate	1/5/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024