45D2158112 CLIA NUMBER - BLANCO COUNTY EMERGENCY SERVICES DISTRICT #2

Laboratory Demographics

CLIA Number: 45D2158112

Facility Name: BLANCO COUNTY EMERGENCY SERVICES DISTRICT #2

Facility Address:
431 BLANCO AVE
BLANCO, TX
ZIP 78606
Get Directions

Facility Phone Number: 830 833-5239

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1346737814

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D2158112
LAB Type	Ambulance
Facility Name	BLANCO COUNTY EMERGENCY SERVICES DISTRICT #2
Street	431 BLANCO AVE
City	BLANCO
State	TX
ZIP	78606
Phone	830 833-5239
CertificateType	4
CertificateEffectiveDate	11/20/2022
CertificateExpirationDate	11/19/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024