45D1037866 CLIA NUMBER - LIFELINE RGV, LLC

Laboratory Demographics

  • CLIA Code: 45D1037866
  • Facility Name: LIFELINE RGV, LLC
  • Facility Address: 4601 BUDDY OWENS
    MCALLEN, TX
    ZIP 78504
  • Facility Phone: 956 683-8181
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID BONILLA
  • NPI Number: 1366779035
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1037866
LAB Type Ambulance
Facility Name LIFELINE RGV, LLC
Street 4601 BUDDY OWENS
City MCALLEN
State TX
ZIP 78504
Phone 956 683-8181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Ambulance
Lab Director DAVID BONILLA

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