45D2198562 CLIA NUMBER - LUBBOCK COOPER HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 45D2198562
  • Facility Name: LUBBOCK COOPER HEALTH CENTER
  • Facility Address: 12115 INDIANA AVE
    LUBBOCK, TX
    ZIP 79423
  • Facility Phone: 806 531-3977
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID R. LONG
  • NPI Number: 1831579382
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2198562
LAB Type Physician Office
Facility Name LUBBOCK COOPER HEALTH CENTER
Street 12115 INDIANA AVE
City LUBBOCK
State TX
ZIP 79423
Phone 806 531-3977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director DAVID R. LONG

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