16D0887511 CLIA NUMBER - SAC COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 16D0887511
  • Facility Name: SAC COUNTY AMBULANCE
  • Facility Address: 110 MAUER AVENUE P O BOX 121
    SAC CITY, IA
    ZIP 50583
  • Facility Phone: 712 662-4481
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SCOT MCDONOUGH
  • NPI Number: 1346382363
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D0887511
LAB Type Other
Facility Name SAC COUNTY AMBULANCE
Street 110 MAUER AVENUE P O BOX 121
City SAC CITY
State IA
ZIP 50583
Phone 712 662-4481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Other
Lab Director SCOT MCDONOUGH

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