16D0716729 CLIA NUMBER - DURANT AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 16D0716729
  • Facility Name: DURANT AMBULANCE SERVICE
  • Facility Address: P O BOX 643
    DURANT, IA
    ZIP 52747
  • Facility Phone: 563 785-4540
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARK ILTIS
  • NPI Number: 1821167883
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D0716729
LAB Type Other
Facility Name DURANT AMBULANCE SERVICE
Street P O BOX 643
City DURANT
State IA
ZIP 52747
Phone 563 785-4540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director MARK ILTIS

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