45D2121096 CLIA NUMBER - MIDLAND CLINIC PLLC DBA REGEN CLINIC OF WEST TEXAS

Laboratory Demographics

  • CLIA Code: 45D2121096
  • Facility Name: MIDLAND CLINIC PLLC DBA REGEN CLINIC OF WEST TEXAS
  • Facility Address: 801 TRADEWINDS BLVD, SUITE B
    MIDLAND, TX
    ZIP 79706
  • Facility Phone: 432 203-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY HICKS ROBINSON
  • NPI Number: 1215485719
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2121096
LAB Type Physician Office
Facility Name MIDLAND CLINIC PLLC DBA REGEN CLINIC OF WEST TEXAS
Street 801 TRADEWINDS BLVD, SUITE B
City MIDLAND
State TX
ZIP 79706
Phone 432 203-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director AMY HICKS ROBINSON

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