45D1027920 CLIA NUMBER - EAST TEXAS AIR ONE, LLC

Laboratory Demographics

CLIA Number: 45D1027920

Facility Name: EAST TEXAS AIR ONE, LLC

Facility Address:
352 S GLENWOOD ATTN MICHAEL LAWYER
TYLER, TX
ZIP 75702
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Facility Phone Number: 903 596-3469

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1386660942

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	45D1027920
LAB Type	Ambulance
Facility Name	EAST TEXAS AIR ONE, LLC
Street	352 S GLENWOOD ATTN MICHAEL LAWYER
City	TYLER
State	TX
ZIP	75702
Phone	903 596-3469
CertificateType	4
CertificateEffectiveDate	7/16/2022
CertificateExpirationDate	7/15/2024
FacilityType	Waiver

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