06D1009816 CLIA NUMBER - MINERAL COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 06D1009816
  • Facility Name: MINERAL COUNTY AMBULANCE SERVICE
  • Facility Address: 800 RIO GRANDE AVE
    CREEDE, CO
    ZIP 81130
  • Facility Phone: 719 658-2600
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PHIL E. LEGGETT
  • NPI Number: 1730294158
  • Taxonomy: 341600000X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Ambulance
Lab Director PHIL E. LEGGETT

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