06D1094320 CLIA NUMBER - PLATTEVILLE/GILCREST FIRE PROTECTION DISTRICT

Laboratory Demographics

CLIA Number: 06D1094320

Facility Name: PLATTEVILLE/GILCREST FIRE PROTECTION DISTRICT

Facility Address:
202 MAIN STREET
PLATTEVILLE, CO
ZIP 80651
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Facility Phone Number: 970 785-2232

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1851869473

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	06D1094320
LAB Type	Ambulance
Facility Name	PLATTEVILLE/GILCREST FIRE PROTECTION DISTRICT
Street	202 MAIN STREET
City	PLATTEVILLE
State	CO
ZIP	80651
Phone	970 785-2232
CertificateType	4
CertificateEffectiveDate	1/15/2023
CertificateExpirationDate	1/14/2025
FacilityType	Waiver

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