45D2174529 CLIA NUMBER - HOA H TRAN MD PA DBA TRAN PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 45D2174529
  • Facility Name: HOA H TRAN MD PA DBA TRAN PHYSICIAN GROUP
  • Facility Address: 5715 114TH STREET
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: 806 712-5715
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOA H. TRAN
  • NPI Number: 1386841203
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2174529
LAB Type Physician Office
Facility Name HOA H TRAN MD PA DBA TRAN PHYSICIAN GROUP
Street 5715 114TH STREET
City LUBBOCK
State TX
ZIP 79424
Phone 806 712-5715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director HOA H. TRAN

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This page was last updated on: 6/4/2025