45D2288738 CLIA NUMBER - ELITE PRIMARY CARE AND WELLNESS, PLLC

Laboratory Demographics

  • CLIA Code: 45D2288738
  • Facility Name: ELITE PRIMARY CARE AND WELLNESS, PLLC
  • Facility Address: 8713 MILWAUKEE AVE. STE. 100
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: 806 407-5885
  • Facility Type: Other - PHYSICIAN ASSISTANT
  • Facility Type: Waiver
  • Lab Director: TALYNN HARVEY
  • NPI Number: 1891473088
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2288738
LAB Type Other - PHYSICIAN ASSISTANT
Facility Name ELITE PRIMARY CARE AND WELLNESS, PLLC
Street 8713 MILWAUKEE AVE. STE. 100
City LUBBOCK
State TX
ZIP 79424
Phone 806 407-5885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Other - PHYSICIAN ASSISTANT
Lab Director TALYNN HARVEY

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