45D2092958 CLIA NUMBER - TAC MED INC

Laboratory Demographics

  • CLIA Code: 45D2092958
  • Facility Name: TAC MED INC
  • Facility Address: 5315 EVERHEART
    CORPUS CHRISTI, TX
    ZIP 78412
  • Facility Phone: 361 882-4290
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KENNETH AVEROCK
  • NPI Number: 1093988784
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2092958
LAB Type Ambulance
Facility Name TAC MED INC
Street 5315 EVERHEART
City CORPUS CHRISTI
State TX
ZIP 78412
Phone 361 882-4290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Ambulance
Lab Director KENNETH AVEROCK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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