45D2130486 CLIA NUMBER - LUBBOCK SURGERY CENTER

Laboratory Demographics

CLIA Number: 45D2130486

Facility Name: LUBBOCK SURGERY CENTER

Facility Address:
3416 22ND STREET
LUBBOCK, TX
ZIP 79410
Get Directions

Facility Phone Number: 806 412-6583

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1912035502

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	45D2130486
LAB Type	Ambulatory Surgery Center
Facility Name	LUBBOCK SURGERY CENTER
Street	3416 22ND STREET
City	LUBBOCK
State	TX
ZIP	79410
Phone	806 412-6583
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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