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45D2230702 CLIA NUMBER - LONE STAR MOBILE PHLEBOTOMY LLC

Laboratory Demographics

CLIA Number: 45D2230702

Facility Name: LONE STAR MOBILE PHLEBOTOMY LLC

Facility Address:
1100 MOUNT LN
RHOME, TX
ZIP 76078
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Facility Phone Number: 817 566-3607

Facility Type: Other - TESTING SITES

Certificate Type: Waiver
NPI Number: 1396316741

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 45D2230702
LAB Type Other - TESTING SITES
Facility Name LONE STAR MOBILE PHLEBOTOMY LLC
Street 1100 MOUNT LN
City RHOME
State TX
ZIP 76078
Phone 817 566-3607
CertificateType 4
CertificateEffectiveDate 7/27/2023
CertificateExpirationDate 7/26/2025
FacilityType Waiver

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