45D2198589 CLIA NUMBER - METROPOLITAN AREA EMS AUTHORITY DBA MEDSTAR MOBILE HEALTHCARE

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Laboratory Demographics

CLIA Number: 45D2198589

Facility Name: METROPOLITAN AREA EMS AUTHORITY DBA MEDSTAR MOBILE HEALTHCARE

Facility Address:
2900 ALTA MERE DR
FORT WORTH, TX
ZIP 76116
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Facility Phone Number: 817 923-3700

Facility Type: Mobile Laboratory

Certificate Type: Accreditation

NPI Number: 1710981774

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	45D2198589
LAB Type	Mobile Laboratory
Facility Name	METROPOLITAN AREA EMS AUTHORITY DBA MEDSTAR MOBILE HEALTHCARE
Street	2900 ALTA MERE DR
City	FORT WORTH
State	TX
ZIP	76116
Phone	817 923-3700
CertificateType	1
CertificateEffectiveDate	2/27/2024
CertificateExpirationDate	2/26/2026
FacilityType	Accreditation

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