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1610 5th St. Lubbock, Texas 79401

Phone: 806-765-2611 / Fax: 806-687-5826

info@chcl.tachc.org

www.chclubbock.org

This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n). 

Please do not include any personal information such as SSN, MRN, Credit Card Numbers on any of our forms.
We appreciate you taking the time to answer this optional question.