45D1025443 CLIA NUMBER - ROWLETT FIRE RESCUE

Laboratory Demographics

CLIA Number: 45D1025443

Facility Name: ROWLETT FIRE RESCUE

Facility Address:
4701 ROWLETT ROAD
ROWLETT, TX
ZIP 75088
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Facility Phone Number: 972 412-6230

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1346388873

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D1025443
LAB Type	Ambulance
Facility Name	ROWLETT FIRE RESCUE
Street	4701 ROWLETT ROAD
City	ROWLETT
State	TX
ZIP	75088
Phone	972 412-6230
CertificateType	4
CertificateEffectiveDate	5/7/2024
CertificateExpirationDate	5/6/2026
FacilityType	Waiver

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