16D0971797 CLIA NUMBER - WATERVILLE RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 16D0971797
  • Facility Name: WATERVILLE RESCUE SQUAD
  • Facility Address: 52 MAIN STREET, PO BOX 36
    WATERVILLE, IA
    ZIP 52170
  • Facility Phone: 563 535-7263
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEFF R. MITCHELL
  • NPI Number: 1285235275
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D0971797
LAB Type Ambulance
Facility Name WATERVILLE RESCUE SQUAD
Street 52 MAIN STREET, PO BOX 36
City WATERVILLE
State IA
ZIP 52170
Phone 563 535-7263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Ambulance
Lab Director JEFF R. MITCHELL

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