45D1026437 CLIA NUMBER - ETMC EMS

Laboratory Demographics

  • CLIA Code: 45D1026437
  • Facility Name: ETMC EMS
  • Facility Address: 352 S GLENWOOD ATTN MEDICAL DIRECTOR
    TYLER, TX
    ZIP 75702
  • Facility Phone: 903 535-5837
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: YAGNESH KANTI DESAI
  • NPI Number: 1104286087
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1026437
LAB Type Ambulance
Facility Name ETMC EMS
Street 352 S GLENWOOD ATTN MEDICAL DIRECTOR
City TYLER
State TX
ZIP 75702
Phone 903 535-5837
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Ambulance
Lab Director YAGNESH KANTI DESAI

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This page was last updated on: 3/20/2025