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16D0886507 CLIA NUMBER - MONTICELLO AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 16D0886507

Facility Name: MONTICELLO AMBULANCE SERVICE

Facility Address:
201 EAST SOUTH STREET
MONTICELLO, IA
ZIP 52310
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Facility Phone Number: 319 465-4560

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1760539480

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 16D0886507
LAB Type Other
Facility Name MONTICELLO AMBULANCE SERVICE
Street 201 EAST SOUTH STREET
City MONTICELLO
State IA
ZIP 52310
Phone 319 465-4560
CertificateType 4
CertificateEffectiveDate 5/27/2022
CertificateExpirationDate 5/26/2024
FacilityType Waiver

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