45D2248777 CLIA NUMBER - CCA ASC LLC

Laboratory Demographics

  • CLIA Code: 45D2248777
  • Facility Name: CCA ASC LLC
  • Facility Address: 6200 W INTERSTATE 40
    AMARILLO, TX
    ZIP 79106
  • Facility Phone: 806 354-9764
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DAVID BRABHAM
  • NPI Number: 1962860304
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2248777
LAB Type Ambulatory Surgery Center
Facility Name CCA ASC LLC
Street 6200 W INTERSTATE 40
City AMARILLO
State TX
ZIP 79106
Phone 806 354-9764
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Ambulatory Surgery Center
Lab Director DAVID BRABHAM

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