45D1027019 CLIA NUMBER - CHAMPION EMS

Laboratory Demographics

  • CLIA Code: 45D1027019
  • Facility Name: CHAMPION EMS
  • Facility Address: 2201 S MOBBERLY AVE
    LONGVIEW, TX
    ZIP 75602
  • Facility Phone: 903 291-2500
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER L. DUNNAHOO
  • NPI Number: 1457444150
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D1027019
LAB Type Ambulance
Facility Name CHAMPION EMS
Street 2201 S MOBBERLY AVE
City LONGVIEW
State TX
ZIP 75602
Phone 903 291-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Ambulance
Lab Director CHRISTOPHER L. DUNNAHOO

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