45D1028939 CLIA NUMBER - ADVANCE EMS

Laboratory Demographics

CLIA Number: 45D1028939

Facility Name: ADVANCE EMS

Facility Address:
5018 CHANCELLOR ROW
CORPUS CHRISTI, TX
ZIP 78416
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Facility Phone Number: 361 857-2059

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1609892272

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D1028939
LAB Type	Ambulance
Facility Name	ADVANCE EMS
Street	5018 CHANCELLOR ROW
City	CORPUS CHRISTI
State	TX
ZIP	78416
Phone	361 857-2059
CertificateType	4
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	Waiver

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