06D2276207 CLIA NUMBER - KIT CARSON COUNTY AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 06D2276207

Facility Name: KIT CARSON COUNTY AMBULANCE SERVICE

Facility Address:
1576 LOWELL AVENUE, SUITE A
BURLINGTON, CO
ZIP 80807
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Facility Phone Number: 719 346-7878

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1760485684

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	06D2276207
LAB Type	Ambulance
Facility Name	KIT CARSON COUNTY AMBULANCE SERVICE
Street	1576 LOWELL AVENUE, SUITE A
City	BURLINGTON
State	CO
ZIP	80807
Phone	719 346-7878
CertificateType	4
CertificateEffectiveDate	2/5/2023
CertificateExpirationDate	2/4/2025
FacilityType	Waiver

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