45D1036890 CLIA NUMBER - PERRYTON AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 45D1036890
  • Facility Name: PERRYTON AMBULANCE SERVICE
  • Facility Address: 21 SE 2ND AVE *
    PERRYTON, TX
    ZIP 79070
  • Facility Phone: 806 435-3000
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PAUL DUTCHER
  • NPI Number: 1780194795
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1036890
LAB Type Ambulance
Facility Name PERRYTON AMBULANCE SERVICE
Street 21 SE 2ND AVE *
City PERRYTON
State TX
ZIP 79070
Phone 806 435-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Ambulance
Lab Director PAUL DUTCHER

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