45D1039056 CLIA NUMBER - FREEPORT FIRE & EMS

Laboratory Demographics

  • CLIA Code: 45D1039056
  • Facility Name: FREEPORT FIRE & EMS
  • Facility Address: 131 EAST FOURTH STREET
    FREEPORT, TX
    ZIP 77541
  • Facility Phone: 979 233-2111
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MIKE PRASLICKA
  • NPI Number: 1699231365
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1039056
LAB Type Ambulance
Facility Name FREEPORT FIRE & EMS
Street 131 EAST FOURTH STREET
City FREEPORT
State TX
ZIP 77541
Phone 979 233-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Ambulance
Lab Director MIKE PRASLICKA

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