45D1027368 CLIA NUMBER - CITY OF MEXIA FIRE/EMS

Laboratory Demographics

CLIA Number: 45D1027368

Facility Name: CITY OF MEXIA FIRE/EMS

Facility Address:
201 S MCKINNEY
MEXIA, TX
ZIP 76667
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Facility Phone Number: 254 562-4166

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1265447114

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D1027368
LAB Type	Ambulance
Facility Name	CITY OF MEXIA FIRE/EMS
Street	201 S MCKINNEY
City	MEXIA
State	TX
ZIP	76667
Phone	254 562-4166
CertificateType	4
CertificateEffectiveDate	6/28/2022
CertificateExpirationDate	6/27/2024
FacilityType	Waiver

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