16D0901664 CLIA NUMBER - LYON COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 16D0901664
  • Facility Name: LYON COUNTY AMBULANCE
  • Facility Address: 310 S 4TH AVENUE
    ROCK RAPIDS, IA
    ZIP 51246
  • Facility Phone: 712 472-8517
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: AMY BORMAN
  • NPI Number: 1922154020
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0901664
LAB Type Other
Facility Name LYON COUNTY AMBULANCE
Street 310 S 4TH AVENUE
City ROCK RAPIDS
State IA
ZIP 51246
Phone 712 472-8517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Other
Lab Director AMY BORMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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