45D2191391 CLIA NUMBER - TEXAS TECH ATHLETICS, FOOTBALL TRAINING FACILITY

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Laboratory Demographics

CLIA Number: 45D2191391

Facility Name: TEXAS TECH ATHLETICS, FOOTBALL TRAINING FACILITY

Facility Address:
2503 6TH STREET
LUBBOCK, TX
ZIP 79409
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Facility Phone Number: 806 743-6751

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1699052811

Taxonomy: 261QR0401X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2191391
LAB Type	School/Student Health Service
Facility Name	TEXAS TECH ATHLETICS, FOOTBALL TRAINING FACILITY
Street	2503 6TH STREET
City	LUBBOCK
State	TX
ZIP	79409
Phone	806 743-6751
CertificateType	4
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Waiver

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