45D2022263 CLIA NUMBER - VICTORY AMBLUANCE SERVICES, LLC

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Laboratory Demographics

CLIA Number: 45D2022263

Facility Name: VICTORY AMBLUANCE SERVICES, LLC

Facility Address:
208 N TEXAS BLVD
BENAVIDES, TX
ZIP 78341
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Facility Phone Number: 361 256-4000

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1942519434

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D2022263
LAB Type	Ambulance
Facility Name	VICTORY AMBLUANCE SERVICES, LLC
Street	208 N TEXAS BLVD
City	BENAVIDES
State	TX
ZIP	78341
Phone	361 256-4000
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Waiver

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