45D2147040 CLIA NUMBER - JOE ARRINGTON CANCER CENTER, LAB 2ND FLOOR

Laboratory Demographics

CLIA Number: 45D2147040

Facility Name: JOE ARRINGTON CANCER CENTER, LAB 2ND FLOOR

Facility Address:
4101 22ND PLACE
LUBBOCK, TX
ZIP 79410
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Facility Phone Number: 806 725-7957

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1245454263

Taxonomy: 261QX0203X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2147040
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	JOE ARRINGTON CANCER CENTER, LAB 2ND FLOOR
Street	4101 22ND PLACE
City	LUBBOCK
State	TX
ZIP	79410
Phone	806 725-7957
CertificateType	4
CertificateEffectiveDate	4/11/2024
CertificateExpirationDate	4/10/2026
FacilityType	Waiver

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