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45D2130462 CLIA NUMBER - RICHARD B CULBERT, MD, PA DBA PREMIER RETINA SPECI

Laboratory Demographics

CLIA Number: 45D2130462

Facility Name: RICHARD B CULBERT, MD, PA DBA PREMIER RETINA SPECI

Facility Address:
10100 LOOP 40 W
MIDLAND, TX
ZIP 79706
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Facility Phone Number: 432 617-0181

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1962450668

Taxonomy: 207WX0107X - Ophthalmology
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

CLIA Record

Field Name Field Value
CLIA Number 45D2130462
LAB Type Physician Office
Facility Name RICHARD B CULBERT, MD, PA DBA PREMIER RETINA SPECI
Street 10100 LOOP 40 W
City MIDLAND
State TX
ZIP 79706
Phone 432 617-0181
CertificateType 4
CertificateEffectiveDate 5/9/2023
CertificateExpirationDate 5/8/2025
FacilityType Waiver

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