16D0876085 CLIA NUMBER - WATERLOO FIRE AND RESCUE

Laboratory Demographics

CLIA Number: 16D0876085

Facility Name: WATERLOO FIRE AND RESCUE

Facility Address:
425 EAST THIRD STREET
WATERLOO, IA
ZIP 50703
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Facility Phone Number: 319 291-4460

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1811076565

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	16D0876085
LAB Type	Other
Facility Name	WATERLOO FIRE AND RESCUE
Street	425 EAST THIRD STREET
City	WATERLOO
State	IA
ZIP	50703
Phone	319 291-4460
CertificateType	4
CertificateEffectiveDate	9/8/2023
CertificateExpirationDate	9/7/2025
FacilityType	Waiver

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