45D2022263 CLIA NUMBER - VICTORY AMBLUANCE SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 45D2022263
  • Facility Name: VICTORY AMBLUANCE SERVICES, LLC
  • Facility Address: 208 N TEXAS BLVD
    BENAVIDES, TX
    ZIP 78341
  • Facility Phone: 361 256-4000
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JUAN GARCIA
  • NPI Number: 1942519434
  • Taxonomy: 3416L0300X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Ambulance
Lab Director JUAN GARCIA

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