04D2049968 CLIA NUMBER - NEVADA COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 04D2049968
  • Facility Name: NEVADA COUNTY AMBULANCE SERVICE
  • Facility Address: 237 HALE AVE
    PRESCOTT, AR
    ZIP 71857
  • Facility Phone: 870 887-2339
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: NICK HIBBS
  • NPI Number: 1114063583
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 04D2049968
LAB Type Ambulance
Facility Name NEVADA COUNTY AMBULANCE SERVICE
Street 237 HALE AVE
City PRESCOTT
State AR
ZIP 71857
Phone 870 887-2339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Ambulance
Lab Director NICK HIBBS

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