45D2143035 CLIA NUMBER - PSG SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2143035
  • Facility Name: PSG SURGERY CENTER, LLC
  • Facility Address: 1010 SOUTH COULTER STREET
    AMARILLO, TX
    ZIP 79106
  • Facility Phone: 806 418-8870
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BO T. NEICHOY
  • NPI Number: 1194245951
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2143035
LAB Type Ambulatory Surgery Center
Facility Name PSG SURGERY CENTER, LLC
Street 1010 SOUTH COULTER STREET
City AMARILLO
State TX
ZIP 79106
Phone 806 418-8870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Ambulatory Surgery Center
Lab Director BO T. NEICHOY

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