45D2284611 CLIA NUMBER - COOK CHILDREN'S GI LUBBOCK

Laboratory Demographics

  • CLIA Code: 45D2284611
  • Facility Name: COOK CHILDREN'S GI LUBBOCK
  • Facility Address: 4102 24TH STREET, SUITE 401
    LUBBOCK, TX
    ZIP 79410
  • Facility Phone: 806 725-5830
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES HIGGINS
  • NPI Number: 1881399426
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D2284611
LAB Type Physician Office
Facility Name COOK CHILDREN'S GI LUBBOCK
Street 4102 24TH STREET, SUITE 401
City LUBBOCK
State TX
ZIP 79410
Phone 806 725-5830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Physician Office
Lab Director JAMES HIGGINS

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