45D1030404 CLIA NUMBER - LAKE WORTH FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 45D1030404
  • Facility Name: LAKE WORTH FIRE DEPARTMENT
  • Facility Address: 3801 FIREHALL DRIVE
    LAKE WORTH, TX
    ZIP 76135
  • Facility Phone: 817 682-8033
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. CHRISTENSON
  • NPI Number: 1194085506
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 45D1030404
LAB Type Ambulance
Facility Name LAKE WORTH FIRE DEPARTMENT
Street 3801 FIREHALL DRIVE
City LAKE WORTH
State TX
ZIP 76135
Phone 817 682-8033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Ambulance
Lab Director MICHAEL J. CHRISTENSON

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