45D2273198 CLIA NUMBER - PROSTICK MOBILE LABS, LLC

Laboratory Demographics

  • CLIA Code: 45D2273198
  • Facility Name: PROSTICK MOBILE LABS, LLC
  • Facility Address: 301 E MAIN ST SUITE B
    CROWLEY, TX
    ZIP 76036
  • Facility Phone: 817 933-2394
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ROMINIQUE PALOMINO
  • NPI Number: 1205526993
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 45D2273198
LAB Type Mobile Laboratory
Facility Name PROSTICK MOBILE LABS, LLC
Street 301 E MAIN ST SUITE B
City CROWLEY
State TX
ZIP 76036
Phone 817 933-2394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Mobile Laboratory
Lab Director ROMINIQUE PALOMINO

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