45D1040577 CLIA NUMBER - DFW AIRPORT DPS

Laboratory Demographics

CLIA Number: 45D1040577

Facility Name: DFW AIRPORT DPS

Facility Address:
3150 N SERVICE ROAD
DALLAS, TX
ZIP 75261
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Facility Phone Number: 972 574-8670

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1417387861

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1040577
LAB Type	Ambulance
Facility Name	DFW AIRPORT DPS
Street	3150 N SERVICE ROAD
City	DALLAS
State	TX
ZIP	75261
Phone	972 574-8670
CertificateType	4
CertificateEffectiveDate	4/25/2023
CertificateExpirationDate	4/24/2025
FacilityType	Waiver

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