16D0927373 CLIA NUMBER - LISBON-MOUNT VERNON AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 16D0927373
  • Facility Name: LISBON-MOUNT VERNON AMBULANCE SERVICE
  • Facility Address: 730 FIRST STREET SE
    MOUNT VERNON, IA
    ZIP 52314
  • Facility Phone: 319 895-8531
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JULES SCADDEN
  • NPI Number: 1447239322
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D0927373
LAB Type Mobile Laboratory
Facility Name LISBON-MOUNT VERNON AMBULANCE SERVICE
Street 730 FIRST STREET SE
City MOUNT VERNON
State IA
ZIP 52314
Phone 319 895-8531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Mobile Laboratory
Lab Director JULES SCADDEN

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