16D0979846 CLIA NUMBER - NORTH BENTON AMBULANCE

Laboratory Demographics

  • CLIA Code: 16D0979846
  • Facility Name: NORTH BENTON AMBULANCE
  • Facility Address: 704 WEST 4TH ST
    VINTON, IA
    ZIP 52349
  • Facility Phone: 319 472-2091
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEFFREY BONLANDER
  • NPI Number: 1427236819
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D0979846
LAB Type Ambulance
Facility Name NORTH BENTON AMBULANCE
Street 704 WEST 4TH ST
City VINTON
State IA
ZIP 52349
Phone 319 472-2091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Ambulance
Lab Director JEFFREY BONLANDER

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