45D1025623 CLIA NUMBER - WEST VOLUNTEER AMBULANCE ASSOCIATION

Laboratory Demographics

  • CLIA Code: 45D1025623
  • Facility Name: WEST VOLUNTEER AMBULANCE ASSOCIATION
  • Facility Address: 411 MEADOW DRIVE
    WEST, TX
    ZIP 76691
  • Facility Phone: 254 826-3779
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TOM E. MAREK
  • NPI Number: 1689713729
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1025623
LAB Type Ambulance
Facility Name WEST VOLUNTEER AMBULANCE ASSOCIATION
Street 411 MEADOW DRIVE
City WEST
State TX
ZIP 76691
Phone 254 826-3779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Ambulance
Lab Director TOM E. MAREK

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