45D2266020 CLIA NUMBER - MED-TRANS DBA LIFESTAR

Laboratory Demographics

  • CLIA Code: 45D2266020
  • Facility Name: MED-TRANS DBA LIFESTAR
  • Facility Address: 2021 COUNTRY CLUB DRIVE
    CHILDRESS, TX
    ZIP 79201
  • Facility Phone: 806 351-7658
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BILLY W. CASEY II
  • NPI Number: 1679202337
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2266020
LAB Type Ambulance
Facility Name MED-TRANS DBA LIFESTAR
Street 2021 COUNTRY CLUB DRIVE
City CHILDRESS
State TX
ZIP 79201
Phone 806 351-7658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Ambulance
Lab Director BILLY W. CASEY II

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