45D1027892 CLIA NUMBER - BANDERA COUNTY EMS

Laboratory Demographics

  • CLIA Code: 45D1027892
  • Facility Name: BANDERA COUNTY EMS
  • Facility Address: 4275 SH 16 SOUTH
    BANDERA, TX
    ZIP 78003
  • Facility Phone: 830 796-4282
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SHANNON GRIFFIN
  • NPI Number: 1689652588
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1027892
LAB Type Ambulance
Facility Name BANDERA COUNTY EMS
Street 4275 SH 16 SOUTH
City BANDERA
State TX
ZIP 78003
Phone 830 796-4282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Ambulance
Lab Director SHANNON GRIFFIN

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