45D1025704 CLIA NUMBER - LUBBOCK AID AMBULANCE

Laboratory Demographics

CLIA Number: 45D1025704

Facility Name: LUBBOCK AID AMBULANCE

Facility Address:
2743 34TH STREET
LUBBOCK, TX
ZIP 79410
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Facility Phone Number: 806 792-2168

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1316995194

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D1025704
LAB Type	Ambulance
Facility Name	LUBBOCK AID AMBULANCE
Street	2743 34TH STREET
City	LUBBOCK
State	TX
ZIP	79410
Phone	806 792-2168
CertificateType	4
CertificateEffectiveDate	5/14/2024
CertificateExpirationDate	5/13/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024