45D1026219 CLIA NUMBER - BULVERDE SPRING BRANCH EMS

Laboratory Demographics

  • CLIA Code: 45D1026219
  • Facility Name: BULVERDE SPRING BRANCH EMS
  • Facility Address: 353 RODEO DRIVE
    SPRING BRANCH, TX
    ZIP 78070
  • Facility Phone: 830 980-9452
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARK SOUTHWELL
  • NPI Number: 1083089270
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1026219
LAB Type Ambulance
Facility Name BULVERDE SPRING BRANCH EMS
Street 353 RODEO DRIVE
City SPRING BRANCH
State TX
ZIP 78070
Phone 830 980-9452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Ambulance
Lab Director MARK SOUTHWELL

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