16D0911573 CLIA NUMBER - CITY OF PELLA COMMUNITY AMBULANCE

Laboratory Demographics

  • CLIA Code: 16D0911573
  • Facility Name: CITY OF PELLA COMMUNITY AMBULANCE
  • Facility Address: 604 MAIN STREET
    PELLA, IA
    ZIP 50219
  • Facility Phone: 641 628-1780
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: GREGORY A. HIGGINBOTHAM
  • NPI Number: 1861470874
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D0911573
LAB Type Other
Facility Name CITY OF PELLA COMMUNITY AMBULANCE
Street 604 MAIN STREET
City PELLA
State IA
ZIP 50219
Phone 641 628-1780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Other
Lab Director GREGORY A. HIGGINBOTHAM

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