45D2309770 CLIA NUMBER - SOUTH PLAINS COLLEGE STUDENT HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 45D2309770
  • Facility Name: SOUTH PLAINS COLLEGE STUDENT HEALTH CLINIC
  • Facility Address: 1401 COLLEGE AVENUE
    LEVELLAND, TX
    ZIP 79336
  • Facility Phone: 806 716-2376
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DEETTE J. EDENS
  • NPI Number: 1437989423
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2309770
LAB Type School/Student Health Service
Facility Name SOUTH PLAINS COLLEGE STUDENT HEALTH CLINIC
Street 1401 COLLEGE AVENUE
City LEVELLAND
State TX
ZIP 79336
Phone 806 716-2376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type School/Student Health Service
Lab Director DEETTE J. EDENS

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