15D2250669 CLIA NUMBER - TRI COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 15D2250669
  • Facility Name: TRI COUNTY AMBULANCE SERVICE
  • Facility Address: 615 NELSONS PKWY
    WAKARUSA, IN
    ZIP 46573
  • Facility Phone: 574 862-3105
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SCOTT A. MAURER
  • NPI Number: 1376541342
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2250669
LAB Type Ambulance
Facility Name TRI COUNTY AMBULANCE SERVICE
Street 615 NELSONS PKWY
City WAKARUSA
State IN
ZIP 46573
Phone 574 862-3105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Ambulance
Lab Director SCOTT A. MAURER

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