45D1030422 CLIA NUMBER - MIMS VOL FIRE DEPT & AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 45D1030422
  • Facility Name: MIMS VOL FIRE DEPT & AMBULANCE SERVICE
  • Facility Address: 9902 FM 729
    AVINGER, TX
    ZIP 75630
  • Facility Phone: (903) 755-4112
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROBERT PAUL IKERD

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CLIA Record

Field Name Field Value
CLIA Number 45D1030422
LAB Type Ambulance
Facility Name MIMS VOL FIRE DEPT & AMBULANCE SERVICE
Street 9902 FM 729
City AVINGER
State TX
ZIP 75630
Phone 9037554112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Ambulance
Lab Director ROBERT PAUL IKERD

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This page was last updated on: 6/29/2026