45D1026962 CLIA NUMBER - TOWN OF PROSPER FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 45D1026962
  • Facility Name: TOWN OF PROSPER FIRE DEPARTMENT
  • Facility Address: 1500 E FIRST STREET
    PROSPER, TX
    ZIP 75078
  • Facility Phone: 972 347-2424
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STUART K. BLASINGAME
  • NPI Number: 1922147206
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1026962
LAB Type Ambulance
Facility Name TOWN OF PROSPER FIRE DEPARTMENT
Street 1500 E FIRST STREET
City PROSPER
State TX
ZIP 75078
Phone 972 347-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Ambulance
Lab Director STUART K. BLASINGAME

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