05D0719206 CLIA NUMBER - IMPERIAL AMBULANCE INC

Laboratory Demographics

  • CLIA Code: 05D0719206
  • Facility Name: IMPERIAL AMBULANCE INC
  • Facility Address: 22 N COTTAGE
    PORTERVILLE, CA
    ZIP 93257
  • Facility Phone: 559 784-8500
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JIM E. ANDREWS, MD
  • NPI Number: 1831258730
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 05D0719206
LAB Type Other
Facility Name IMPERIAL AMBULANCE INC
Street 22 N COTTAGE
City PORTERVILLE
State CA
ZIP 93257
Phone 559 784-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Other
Lab Director JIM E. ANDREWS, MD

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