45D2288427 CLIA NUMBER - PRIORITY AMBULANCE TRANSFER LLC

Laboratory Demographics

  • CLIA Code: 45D2288427
  • Facility Name: PRIORITY AMBULANCE TRANSFER LLC
  • Facility Address: 11104 W AIRPORT BLVD STE 131
    STAFFORD, TX
    ZIP 77477
  • Facility Phone: 281 564-2800
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOHN RUTACHOKOZIBWA
  • NPI Number: 1669756904
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 45D2288427
LAB Type Ambulance
Facility Name PRIORITY AMBULANCE TRANSFER LLC
Street 11104 W AIRPORT BLVD STE 131
City STAFFORD
State TX
ZIP 77477
Phone 281 564-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Ambulance
Lab Director JOHN RUTACHOKOZIBWA

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