45D2306888 CLIA NUMBER - EPIPHANY MEDICAL SERVICES, PA

Laboratory Demographics

  • CLIA Code: 45D2306888
  • Facility Name: EPIPHANY MEDICAL SERVICES, PA
  • Facility Address: 13810 QUAKER AVE
    LUBBOCK, TX
    ZIP 79424
  • Facility Phone: 806 576-3856
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY HANNEL
  • NPI Number: 1033963731
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2306888
LAB Type Physician Office
Facility Name EPIPHANY MEDICAL SERVICES, PA
Street 13810 QUAKER AVE
City LUBBOCK
State TX
ZIP 79424
Phone 806 576-3856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director JEFFREY HANNEL

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