45D2198297 CLIA NUMBER - LUBBOCK HEALTH & IV CLINIC, PLLC

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Laboratory Demographics

CLIA Number: 45D2198297

Facility Name: LUBBOCK HEALTH & IV CLINIC, PLLC

Facility Address:
1802 E 50TH ST UNIT 110
LUBBOCK, TX
ZIP 79404
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Facility Phone Number: 806 702-4988

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437756251

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	45D2198297
LAB Type	Physician Office
Facility Name	LUBBOCK HEALTH & IV CLINIC, PLLC
Street	1802 E 50TH ST UNIT 110
City	LUBBOCK
State	TX
ZIP	79404
Phone	806 702-4988
CertificateType	4
CertificateEffectiveDate	10/30/2022
CertificateExpirationDate	10/29/2024
FacilityType	Waiver

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