45D2123824 CLIA NUMBER - AMARILLO STAT CARE PLLC

Laboratory Demographics

  • CLIA Code: 45D2123824
  • Facility Name: AMARILLO STAT CARE PLLC
  • Facility Address: 6014 WESTERN ST, SUITE 400
    AMARILLO, TX
    ZIP 79110
  • Facility Phone: 806 553-2728
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KAYLA MAYBERY
  • NPI Number: 1700320702
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2123824
LAB Type Practitioner Other
Facility Name AMARILLO STAT CARE PLLC
Street 6014 WESTERN ST, SUITE 400
City AMARILLO
State TX
ZIP 79110
Phone 806 553-2728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Practitioner Other
Lab Director KAYLA MAYBERY

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