06D1026424 CLIA NUMBER - COSTILLA COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 06D1026424
  • Facility Name: COSTILLA COUNTY AMBULANCE DISTRICT
  • Facility Address: 233 MAIN STREET BUILDING #2
    SAN LUIS, CO
    ZIP 81152
  • Facility Phone: 719 672-4271
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER RODRIGUEZ
  • NPI Number: 1699912592
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 06D1026424
LAB Type Ambulance
Facility Name COSTILLA COUNTY AMBULANCE DISTRICT
Street 233 MAIN STREET BUILDING #2
City SAN LUIS
State CO
ZIP 81152
Phone 719 672-4271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Ambulance
Lab Director CHRISTOPHER RODRIGUEZ

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This page was last updated on: 6/4/2025