45D1028170 CLIA NUMBER - CITY OF WHARTON EMS

Laboratory Demographics

  • CLIA Code: 45D1028170
  • Facility Name: CITY OF WHARTON EMS
  • Facility Address: 2010 N FULTON
    WHARTON, TX
    ZIP 77488
  • Facility Phone: 979 532-4811
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHRISTY GONZALES
  • NPI Number: 1114057742
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1028170
LAB Type Ambulance
Facility Name CITY OF WHARTON EMS
Street 2010 N FULTON
City WHARTON
State TX
ZIP 77488
Phone 979 532-4811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Ambulance
Lab Director CHRISTY GONZALES

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This page was last updated on: 6/4/2025