45D2201088 CLIA NUMBER - AUA SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 45D2201088
  • Facility Name: AUA SURGICAL CENTER LLC
  • Facility Address: 8207 WEST AMARILLO BLVD
    AMARILLO, TX
    ZIP 79124
  • Facility Phone: 806 350-7388
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID WILHELM
  • NPI Number: 1811387368
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2201088
LAB Type Ambulatory Surgery Center
Facility Name AUA SURGICAL CENTER LLC
Street 8207 WEST AMARILLO BLVD
City AMARILLO
State TX
ZIP 79124
Phone 806 350-7388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID WILHELM

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This page was last updated on: 3/20/2025