45D2003002 CLIA NUMBER - RGV AMBULANCE SERVICE LLC

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Laboratory Demographics

CLIA Number: 45D2003002

Facility Name: RGV AMBULANCE SERVICE LLC

Facility Address:
PO BOX 487
MISSION, TX
ZIP 78573
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Facility Phone Number: 956 240-4351

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1336463553

Taxonomy: 3416L0300X - Ambulance

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
CertificateType	4
CertificateEffectiveDate	1/29/2024
CertificateExpirationDate	1/28/2026
FacilityType	Waiver

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