19D0892916 CLIA NUMBER - BOSSIER CITY FIRE DEPARTMENT EMS

Laboratory Demographics

  • CLIA Code: 19D0892916
  • Facility Name: BOSSIER CITY FIRE DEPARTMENT EMS
  • Facility Address: 620 BENTON ROAD
    BOSSIER CITY, LA
    ZIP 71111
  • Facility Phone: 318 741-8700
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: FRED WEAVER
  • NPI Number: 1538315791
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 19D0892916
LAB Type Other
Facility Name BOSSIER CITY FIRE DEPARTMENT EMS
Street 620 BENTON ROAD
City BOSSIER CITY
State LA
ZIP 71111
Phone 318 741-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Other
Lab Director FRED WEAVER

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