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45D1026308 CLIA NUMBER - SOUTH PLAINS EMERGENCY MEDICAL SERVICES INC

Laboratory Demographics

CLIA Number: 45D1026308

Facility Name: SOUTH PLAINS EMERGENCY MEDICAL SERVICES INC

Facility Address:
3602 SLIDE RD UNIT B22-A
LUBBOCK, TX
ZIP 79414
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Facility Phone Number: 806 791-2582

Facility Type: Ambulance

Certificate Type: Waiver
NPI Number: 1194239772

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 45D1026308
LAB Type Ambulance
Facility Name SOUTH PLAINS EMERGENCY MEDICAL SERVICES INC
Street 3602 SLIDE RD UNIT B22-A
City LUBBOCK
State TX
ZIP 79414
Phone 806 791-2582
CertificateType 4
CertificateEffectiveDate 6/2/2022
CertificateExpirationDate 6/1/2024
FacilityType Waiver

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