45D1026381 CLIA NUMBER - NORTH BOSQUE EMS

Laboratory Demographics

CLIA Number: 45D1026381

Facility Name: NORTH BOSQUE EMS

Facility Address:
200 E MORGAN ST
MERIDIAN, TX
ZIP 76665
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Facility Phone Number: 254 435-2070

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1619014719

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D1026381
LAB Type	Ambulance
Facility Name	NORTH BOSQUE EMS
Street	200 E MORGAN ST
City	MERIDIAN
State	TX
ZIP	76665
Phone	254 435-2070
CertificateType	4
CertificateEffectiveDate	6/3/2022
CertificateExpirationDate	6/2/2024
FacilityType	Waiver

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