45D2119769 CLIA NUMBER - AMARILLO S TX EMER CTR, LLC DBA EXCEPTIONAL AMARILLO S COULTER

Laboratory Demographics

  • CLIA Code: 45D2119769
  • Facility Name: AMARILLO S TX EMER CTR, LLC DBA EXCEPTIONAL AMARILLO S COULTER
  • Facility Address: 5800 S COULTER STREET
    AMARILLO, TX
    ZIP 79119
  • Facility Phone: 806 398-7744
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: MR. KARIM MOSHREFI
  • NPI Number: 1487295259
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2119769
LAB Type Independent
Facility Name AMARILLO S TX EMER CTR, LLC DBA EXCEPTIONAL AMARILLO S COULTER
Street 5800 S COULTER STREET
City AMARILLO
State TX
ZIP 79119
Phone 806 398-7744
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Independent
Lab Director MR. KARIM MOSHREFI

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