10D0908557 CLIA NUMBER - DIXIE COUNTY EMERGENCY SERVICES

Laboratory Demographics

CLIA Number: 10D0908557

Facility Name: DIXIE COUNTY EMERGENCY SERVICES

Facility Address:
17600 SE 19 HWY
CROSS CITY, FL
ZIP 32628
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Facility Phone Number: 352 498-1240

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1730162488

Taxonomy: 207PE0004X - Emergency Medicine
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

CLIA Record

Field Name	Field Value
CLIA Number	10D0908557
LAB Type	Other
Facility Name	DIXIE COUNTY EMERGENCY SERVICES
Street	17600 SE 19 HWY
City	CROSS CITY
State	FL
ZIP	32628
Phone	352 498-1240
CertificateType	4
CertificateEffectiveDate	11/8/2023
CertificateExpirationDate	11/7/2025
FacilityType	Waiver

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