45D1075150 CLIA NUMBER - METHODIST BOERNE EMERGENCY DEPARTMENT LAB

Laboratory Demographics

CLIA Number: 45D1075150

Facility Name: METHODIST BOERNE EMERGENCY DEPARTMENT LAB

Facility Address:
134 MENGER SPRINGS SUITE 2000 RM LAB
BOERNE, TX
ZIP 78006
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Facility Phone Number: 210 638-4000

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1700431798

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1075150
LAB Type	Hospital
Facility Name	METHODIST BOERNE EMERGENCY DEPARTMENT LAB
Street	134 MENGER SPRINGS SUITE 2000 RM LAB
City	BOERNE
State	TX
ZIP	78006
Phone	210 638-4000
CertificateType	1
CertificateEffectiveDate	12/31/2022
CertificateExpirationDate	12/30/2024
FacilityType	Accreditation

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