06D0994354 CLIA NUMBER - BENT COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 06D0994354
  • Facility Name: BENT COUNTY AMBULANCE SERVICE
  • Facility Address: 52 NORTH BENT AVE
    LAS ANIMAS, CO
    ZIP 81054
  • Facility Phone: 719 456-1915
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DUANA S. BOURNE
  • NPI Number: 1275692782
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 06D0994354
LAB Type Ambulance
Facility Name BENT COUNTY AMBULANCE SERVICE
Street 52 NORTH BENT AVE
City LAS ANIMAS
State CO
ZIP 81054
Phone 719 456-1915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Ambulance
Lab Director DUANA S. BOURNE

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