06D1034838 CLIA NUMBER - HASTY-MCCLAVE AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 06D1034838
  • Facility Name: HASTY-MCCLAVE AMBULANCE SERVICE
  • Facility Address: 1209 SOUTH MAIN
    HASTY, CO
    ZIP 81044
  • Facility Phone: 719 829-4000
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHERYL BREWER
  • NPI Number: 1588059729
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 06D1034838
LAB Type Ambulance
Facility Name HASTY-MCCLAVE AMBULANCE SERVICE
Street 1209 SOUTH MAIN
City HASTY
State CO
ZIP 81044
Phone 719 829-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Ambulance
Lab Director CHERYL BREWER

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