45D2176429 CLIA NUMBER - LIFE LINE EMS, LLC

Laboratory Demographics

  • CLIA Code: 45D2176429
  • Facility Name: LIFE LINE EMS, LLC
  • Facility Address: 4143 BLUEBONNET DR
    STAFFORD, TX
    ZIP 77477
  • Facility Phone: 832 203-8778
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: NONYELUM U. OZONOH
  • NPI Number: 1053977744
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2176429
LAB Type Ambulance
Facility Name LIFE LINE EMS, LLC
Street 4143 BLUEBONNET DR
City STAFFORD
State TX
ZIP 77477
Phone 832 203-8778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Ambulance
Lab Director NONYELUM U. OZONOH

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