45D2285977 CLIA NUMBER - MED SOUTHWEST, PLLC

Laboratory Demographics

  • CLIA Code: 45D2285977
  • Facility Name: MED SOUTHWEST, PLLC
  • Facility Address: 2481 I-40 FRONTAGE RD
    AMARILLO, TX
    ZIP 79109
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH KAVANAGH
  • NPI Number: 1053956185
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2285977
LAB Type Physician Office
Facility Name MED SOUTHWEST, PLLC
Street 2481 I-40 FRONTAGE RD
City AMARILLO
State TX
ZIP 79109
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director JOSEPH KAVANAGH

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