45D2056801 CLIA NUMBER - PETERSON AMBULATORY CARE CENTER

Laboratory Demographics

  • CLIA Code: 45D2056801
  • Facility Name: PETERSON AMBULATORY CARE CENTER
  • Facility Address: 260 CULLY
    KERRVILLE, TX
    ZIP 78028
  • Facility Phone: 830 258-7378
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EVE BETANCOURT
  • NPI Number: 1790782704
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2056801
LAB Type Assisted Living Facility
Facility Name PETERSON AMBULATORY CARE CENTER
Street 260 CULLY
City KERRVILLE
State TX
ZIP 78028
Phone 830 258-7378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Assisted Living Facility
Lab Director EVE BETANCOURT

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