45D2163895 CLIA NUMBER - JITENDRA VASANDANI MD, PA DBA WEST TEXAS CLINICAL

Laboratory Demographics

  • CLIA Code: 45D2163895
  • Facility Name: JITENDRA VASANDANI MD, PA DBA WEST TEXAS CLINICAL
  • Facility Address: 10705 MILWAUKEE AVENUE
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: 806 993-1040
  • Facility Type: Other - CLINICAL RESEARCH OFFICE
  • Facility Type: Waiver
  • Lab Director: JITENDRA VASANDANI
  • NPI Number: 1194707406
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2163895
LAB Type Other - CLINICAL RESEARCH OFFICE
Facility Name JITENDRA VASANDANI MD, PA DBA WEST TEXAS CLINICAL
Street 10705 MILWAUKEE AVENUE
City LUBBOCK
State TX
ZIP 79424
Phone 806 993-1040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Other - CLINICAL RESEARCH OFFICE
Lab Director JITENDRA VASANDANI

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