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45D1068233 CLIA NUMBER - DONLEY COUNTY HOSPITAL DISTRICT DBA ASSOCIATED AMBULANCE AUTHORITY

Laboratory Demographics

CLIA Number: 45D1068233

Facility Name: DONLEY COUNTY HOSPITAL DISTRICT DBA ASSOCIATED AMBULANCE AUTHORITY

Facility Address:
THREE MEDICAL CENTER DRIVE
CLARENDON, TX
ZIP 79226
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Facility Phone Number: 806 874-2233

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1427131994

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 45D1068233
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DONLEY COUNTY HOSPITAL DISTRICT DBA ASSOCIATED AMBULANCE AUTHORITY
Street THREE MEDICAL CENTER DRIVE
City CLARENDON
State TX
ZIP 79226
Phone 806 874-2233
CertificateType 4
CertificateEffectiveDate 5/7/2023
CertificateExpirationDate 5/6/2025
FacilityType Waiver

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