06D1032012 CLIA NUMBER - KIOWA COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 06D1032012
  • Facility Name: KIOWA COUNTY AMBULANCE SERVICE
  • Facility Address: 206 W 12TH STREET
    EADS, CO
    ZIP 81036
  • Facility Phone: 719 438-5900
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LIONEL R. WILSON
  • NPI Number: 1326627316
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 06D1032012
LAB Type Ambulance
Facility Name KIOWA COUNTY AMBULANCE SERVICE
Street 206 W 12TH STREET
City EADS
State CO
ZIP 81036
Phone 719 438-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Ambulance
Lab Director LIONEL R. WILSON

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