45D1027780 CLIA NUMBER - THREE RIVERS AMBULANCE SERVCE INC

Laboratory Demographics

  • CLIA Code: 45D1027780
  • Facility Name: THREE RIVERS AMBULANCE SERVCE INC
  • Facility Address: 201 NORTH MAIN STREET
    CROWELL, TX
    ZIP 79227
  • Facility Phone: 940 684-1432
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES BORCHARDT
  • NPI Number: 1538162383
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1027780
LAB Type Ambulance
Facility Name THREE RIVERS AMBULANCE SERVCE INC
Street 201 NORTH MAIN STREET
City CROWELL
State TX
ZIP 79227
Phone 940 684-1432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Ambulance
Lab Director JAMES BORCHARDT

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