45D1033230 CLIA NUMBER - EAGLE MOUNTAIN VOLUNTEER EMS

Laboratory Demographics

  • CLIA Code: 45D1033230
  • Facility Name: EAGLE MOUNTAIN VOLUNTEER EMS
  • Facility Address: 9500 LIVE OAK LANE
    FORT WORTH, TX
    ZIP 76179
  • Facility Phone: 817 236-8044
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. BARTON
  • NPI Number: 1487914339
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D1033230
LAB Type Ambulance
Facility Name EAGLE MOUNTAIN VOLUNTEER EMS
Street 9500 LIVE OAK LANE
City FORT WORTH
State TX
ZIP 76179
Phone 817 236-8044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Ambulance
Lab Director MICHAEL T. BARTON

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