16D0982132 CLIA NUMBER - GRANGER COMMUMITY AMBULANCE

Laboratory Demographics

CLIA Number: 16D0982132

Facility Name: GRANGER COMMUMITY AMBULANCE

Facility Address:
1906 MAIN
GRANGER, IA
ZIP 50109
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Facility Phone Number: 515 999-2338

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1427080662

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	16D0982132
LAB Type	Ambulance
Facility Name	GRANGER COMMUMITY AMBULANCE
Street	1906 MAIN
City	GRANGER
State	IA
ZIP	50109
Phone	515 999-2338
CertificateType	4
CertificateEffectiveDate	1/17/2023
CertificateExpirationDate	1/16/2025
FacilityType	Waiver

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