45D0660585 CLIA NUMBER - PAM SPECIALTY HOSPITAL OF LULING

Laboratory Demographics

  • CLIA Code: 45D0660585
  • Facility Name: PAM SPECIALTY HOSPITAL OF LULING
  • Facility Address: 200 MEMORIAL DRIVE
    LULING, TX
    ZIP 78648
  • Facility Phone: 830 875-8400
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: ALEKSANDRA `. VIDACIC
  • NPI Number: 1114962842
  • Taxonomy: 282E00000X - Long Term Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0660585
LAB Type Hospital
Facility Name PAM SPECIALTY HOSPITAL OF LULING
Street 200 MEMORIAL DRIVE
City LULING
State TX
ZIP 78648
Phone 830 875-8400
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Hospital
Lab Director ALEKSANDRA `. VIDACIC

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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