45D2264251 CLIA NUMBER - ALLEGIANCE CARE LLC

Laboratory Demographics

  • CLIA Code: 45D2264251
  • Facility Name: ALLEGIANCE CARE LLC
  • Facility Address: 1901 MEDI PARK SUITE 6
    AMARILLO, TX
    ZIP 79106
  • Facility Phone: 806 576-1095
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELLY WRAY
  • NPI Number: 1164154068
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2264251
LAB Type Physician Office
Facility Name ALLEGIANCE CARE LLC
Street 1901 MEDI PARK SUITE 6
City AMARILLO
State TX
ZIP 79106
Phone 806 576-1095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director SHELLY WRAY

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