45D1030352 CLIA NUMBER - CITY OF PORT ISABEL EMS

Laboratory Demographics

  • CLIA Code: 45D1030352
  • Facility Name: CITY OF PORT ISABEL EMS
  • Facility Address: 305 EAST MAXAN ST
    PORT ISABEL, TX
    ZIP 78578
  • Facility Phone: 956 943-7829
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHARLIE WOOD, EMS DIR
  • NPI Number: 1902827108
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1030352
LAB Type Ambulance
Facility Name CITY OF PORT ISABEL EMS
Street 305 EAST MAXAN ST
City PORT ISABEL
State TX
ZIP 78578
Phone 956 943-7829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Ambulance
Lab Director CHARLIE WOOD, EMS DIR

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This page was last updated on: 3/20/2025