45D0857270 CLIA NUMBER - FRIO COUNTY W I C

Laboratory Demographics

  • CLIA Code: 45D0857270
  • Facility Name: FRIO COUNTY W I C
  • Facility Address: 411 EAST BRAZOS SUITE C
    PEARSALL, TX
    ZIP 78061
  • Facility Phone: 830 334-0090
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TAMMY A. HERNANDEZ
  • NPI Number: 1508857020
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D0857270
LAB Type Other
Facility Name FRIO COUNTY W I C
Street 411 EAST BRAZOS SUITE C
City PEARSALL
State TX
ZIP 78061
Phone 830 334-0090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director TAMMY A. HERNANDEZ

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