06D2149329 CLIA NUMBER - MEDTRANS AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 06D2149329

Facility Name: MEDTRANS AMBULANCE SERVICE

Facility Address:
402 ELM AVE
ROCKY FORD, CO
ZIP 81067
Get Directions

Facility Phone Number: 719 316-1400

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1427549898

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	06D2149329
LAB Type	Ambulance
Facility Name	MEDTRANS AMBULANCE SERVICE
Street	402 ELM AVE
City	ROCKY FORD
State	CO
ZIP	81067
Phone	719 316-1400
CertificateType	4
CertificateEffectiveDate	5/31/2022
CertificateExpirationDate	5/30/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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