19D0894175 CLIA NUMBER - CADDO PARISH FIRE DISTRICT #3

Laboratory Demographics

CLIA Number: 19D0894175

Facility Name: CADDO PARISH FIRE DISTRICT #3

Facility Address:
9081 U S HWY 80
GREENWOOD, LA
ZIP 71033
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Facility Phone Number: 318 938-5290

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1801910666

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	19D0894175
LAB Type	Other
Facility Name	CADDO PARISH FIRE DISTRICT #3
Street	9081 U S HWY 80
City	GREENWOOD
State	LA
ZIP	71033
Phone	318 938-5290
CertificateType	4
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	11/7/2024
FacilityType	Waiver

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