45D1030632 CLIA NUMBER - TIMPSON VOLUNTEER AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 45D1030632

Facility Name: TIMPSON VOLUNTEER AMBULANCE SERVICE

Facility Address:
CORNER BRENOMD & AUSTIN STREETS
TIMPSON, TX
ZIP 75975
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Facility Phone Number: 936 254-2375

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1245234855

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	45D1030632
LAB Type	Ambulance
Facility Name	TIMPSON VOLUNTEER AMBULANCE SERVICE
Street	CORNER BRENOMD & AUSTIN STREETS
City	TIMPSON
State	TX
ZIP	75975
Phone	936 254-2375
CertificateType	4
CertificateEffectiveDate	9/10/2022
CertificateExpirationDate	9/9/2024
FacilityType	Waiver

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