16D0970986 CLIA NUMBER - URBANDALE FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 16D0970986

Facility Name: URBANDALE FIRE DEPARTMENT

Facility Address:
3927 121ST ST
URBANDALE, IA
ZIP 50323
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Facility Phone Number: 515 278-3970

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1972501286

Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

CLIA Record

Field Name	Field Value
CLIA Number	16D0970986
LAB Type	Ambulance
Facility Name	URBANDALE FIRE DEPARTMENT
Street	3927 121ST ST
City	URBANDALE
State	IA
ZIP	50323
Phone	515 278-3970
CertificateType	4
CertificateEffectiveDate	3/1/2024
CertificateExpirationDate	2/28/2026
FacilityType	Waiver

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