45D2138593 CLIA NUMBER - LONG & HARRIS DERMATOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 45D2138593
  • Facility Name: LONG & HARRIS DERMATOLOGY, PLLC
  • Facility Address: 6102 82ND STREET, SUITE 15
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: 806 749-7933
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRYAN DOUGLAS HARRIS
  • NPI Number: 1962928440
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 45D2138593
LAB Type Physician Office
Facility Name LONG & HARRIS DERMATOLOGY, PLLC
Street 6102 82ND STREET, SUITE 15
City LUBBOCK
State TX
ZIP 79424
Phone 806 749-7933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director BRYAN DOUGLAS HARRIS

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