45D2003002 CLIA NUMBER - RGV AMBULANCE SERVICE LLC

Laboratory Demographics

  • CLIA Code: 45D2003002
  • Facility Name: RGV AMBULANCE SERVICE LLC
  • Facility Address: PO BOX 487
    MISSION, TX
    ZIP 78573
  • Facility Phone: 956 240-4351
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DIEGO QUIJANO
  • NPI Number: 1336463553
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2003002
LAB Type Ambulance
Facility Name RGV AMBULANCE SERVICE LLC
Street PO BOX 487
City MISSION
State TX
ZIP 78573
Phone 956 240-4351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Ambulance
Lab Director DIEGO QUIJANO

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