45D1028770 CLIA NUMBER - CITY OF MONT BELVIEU DBA MONT BELVIEU FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 45D1028770

Facility Name: CITY OF MONT BELVIEU DBA MONT BELVIEU FIRE DEPARTMENT

Facility Address:
11607 EAGLE DR
MONT BELVIEU, TX
ZIP 77580
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Facility Phone Number: 281 576-2021

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1629099262

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name Field Value
CLIA Number 45D1028770
LAB Type Ambulance
Facility Name CITY OF MONT BELVIEU DBA MONT BELVIEU FIRE DEPARTMENT
Street 11607 EAGLE DR
City MONT BELVIEU
State TX
ZIP 77580
Phone 281 576-2021
CertificateType 4
CertificateEffectiveDate 8/2/2022
CertificateExpirationDate 8/1/2024
FacilityType Waiver

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