45D1028686 CLIA NUMBER - LAKE CITIES FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 45D1028686
  • Facility Name: LAKE CITIES FIRE DEPARTMENT
  • Facility Address: 3501 FM 2181 SUITE B
    CORINTH, TX
    ZIP 76210
  • Facility Phone: 940 321-2141
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHAD L. THIESSEN
  • NPI Number: 1265685911
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D1028686
LAB Type Ambulance
Facility Name LAKE CITIES FIRE DEPARTMENT
Street 3501 FM 2181 SUITE B
City CORINTH
State TX
ZIP 76210
Phone 940 321-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Ambulance
Lab Director CHAD L. THIESSEN

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