45D1025403 CLIA NUMBER - COPPERAS COVE FIRE DEPT

Laboratory Demographics

  • CLIA Code: 45D1025403
  • Facility Name: COPPERAS COVE FIRE DEPT
  • Facility Address: 415 SOUTH MAIN STREET
    COPPERAS COVE, TX
    ZIP 76522
  • Facility Phone: 254 547-2091
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES M. INGRAM
  • NPI Number: 1720490311
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D1025403
LAB Type Ambulance
Facility Name COPPERAS COVE FIRE DEPT
Street 415 SOUTH MAIN STREET
City COPPERAS COVE
State TX
ZIP 76522
Phone 254 547-2091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Ambulance
Lab Director JAMES M. INGRAM

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