16D0891887 CLIA NUMBER - PANORA EMS

Laboratory Demographics

CLIA Number: 16D0891887

Facility Name: PANORA EMS

Facility Address:
115 NW 2ND STREET, PO BOX 98
PANORA, IA
ZIP 50216
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Facility Phone Number: 641 755-2164

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1538228499

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	16D0891887
LAB Type	Other
Facility Name	PANORA EMS
Street	115 NW 2ND STREET, PO BOX 98
City	PANORA
State	IA
ZIP	50216
Phone	641 755-2164
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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