45D2152238 CLIA NUMBER - ALLY MEDICAL EMERGENCY ROOM-BASTROP

Laboratory Demographics

  • CLIA Code: 45D2152238
  • Facility Name: ALLY MEDICAL EMERGENCY ROOM-BASTROP
  • Facility Address: 512 HIGHWAY 71 WEST
    BASTROP, TX
    ZIP 78602
  • Facility Phone: 270 703-7246
  • Facility Type: Other - FREESTANDING ER
  • Facility Type: Accreditation
  • Lab Director: DR. PIKUL PATEL
  • NPI Number: 1235611500
  • Taxonomy: 261QE0002X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2152238
LAB Type Other - FREESTANDING ER
Facility Name ALLY MEDICAL EMERGENCY ROOM-BASTROP
Street 512 HIGHWAY 71 WEST
City BASTROP
State TX
ZIP 78602
Phone 270 703-7246
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 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Other - FREESTANDING ER
Lab Director DR. PIKUL PATEL

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