16D0928132 CLIA NUMBER - ASBURY COMMUNITY FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 16D0928132

Facility Name: ASBURY COMMUNITY FIRE DEPARTMENT

Facility Address:
5485 SARATOGA ROAD
ASBURY, IA
ZIP 52002
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Facility Phone Number: 319 556-5874

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1477583623

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	16D0928132
LAB Type	Other
Facility Name	ASBURY COMMUNITY FIRE DEPARTMENT
Street	5485 SARATOGA ROAD
City	ASBURY
State	IA
ZIP	52002
Phone	319 556-5874
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

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