45D1029595 CLIA NUMBER - BURNET FIRE & EMS

Laboratory Demographics

  • CLIA Code: 45D1029595
  • Facility Name: BURNET FIRE & EMS
  • Facility Address: 2002 SOUTH WATER ST
    BURNET, TX
    ZIP 78611
  • Facility Phone: 512 756-8969
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARK L. INGRAM
  • NPI Number: 1003198383
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D1029595
LAB Type Ambulance
Facility Name BURNET FIRE & EMS
Street 2002 SOUTH WATER ST
City BURNET
State TX
ZIP 78611
Phone 512 756-8969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Ambulance
Lab Director MARK L. INGRAM

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