45D2295965 CLIA NUMBER - WEST TEXAS ALLERGY, PA

Laboratory Demographics

  • CLIA Code: 45D2295965
  • Facility Name: WEST TEXAS ALLERGY, PA
  • Facility Address: 5424 19TH ST STE 300
    LUBBOCK, TX
    ZIP 79407
  • Facility Phone: 806 795-4391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGUEL WOLBERT
  • NPI Number: 1497440408
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 45D2295965
LAB Type Physician Office
Facility Name WEST TEXAS ALLERGY, PA
Street 5424 19TH ST STE 300
City LUBBOCK
State TX
ZIP 79407
Phone 806 795-4391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director MIGUEL WOLBERT

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