06D1009816 CLIA NUMBER - MINERAL COUNTY AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 06D1009816

Facility Name: MINERAL COUNTY AMBULANCE SERVICE

Facility Address:
800 RIO GRANDE AVE
CREEDE, CO
ZIP 81130
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Facility Phone Number: 719 658-2600

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1730294158

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	06D1009816
LAB Type	Ambulance
Facility Name	MINERAL COUNTY AMBULANCE SERVICE
Street	800 RIO GRANDE AVE
City	CREEDE
State	CO
ZIP	81130
Phone	719 658-2600
CertificateType	4
CertificateEffectiveDate	2/26/2023
CertificateExpirationDate	2/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024