45D2283060 CLIA NUMBER - LUBBOCK PRIMARY CARE VIP MEDICINE

Laboratory Demographics

  • CLIA Code: 45D2283060
  • Facility Name: LUBBOCK PRIMARY CARE VIP MEDICINE
  • Facility Address: 10709 MILWAUKEE AVENUE
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: (806) 701-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER SHANKLIN
  • NPI Number: 1679011621
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2283060
LAB Type Physician Office
Facility Name LUBBOCK PRIMARY CARE VIP MEDICINE
Street 10709 MILWAUKEE AVENUE
City LUBBOCK
State TX
ZIP 79424
Phone 8067014040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director CHRISTOPHER SHANKLIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026