45D2124349 CLIA NUMBER - CONCHO VALLEY EMERGENCY CENTER

Laboratory Demographics

  • CLIA Code: 45D2124349
  • Facility Name: CONCHO VALLEY EMERGENCY CENTER
  • Facility Address: 5709 SHERWOOD WAY
    SAN ANGELO, TX
    ZIP 76901
  • Facility Phone: 409 920-4470
  • Facility Type: Other - FREESTANDING ER
  • Facility Type: Accreditation
  • Lab Director: WALT CARROLL
  • NPI Number: 1972062545
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2124349
LAB Type Other - FREESTANDING ER
Facility Name CONCHO VALLEY EMERGENCY CENTER
Street 5709 SHERWOOD WAY
City SAN ANGELO
State TX
ZIP 76901
Phone 409 920-4470
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Other - FREESTANDING ER
Lab Director WALT CARROLL

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