16D1000055 CLIA NUMBER - MAR MAC EMERGENCY SQUAD

Laboratory Demographics

  • CLIA Code: 16D1000055
  • Facility Name: MAR MAC EMERGENCY SQUAD
  • Facility Address: 205 FOURTH STREET
    MC GREGOR, IA
    ZIP 52157
  • Facility Phone: 563 873-3896
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL GILMAN
  • NPI Number: 1003861154
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D1000055
LAB Type Ambulance
Facility Name MAR MAC EMERGENCY SQUAD
Street 205 FOURTH STREET
City MC GREGOR
State IA
ZIP 52157
Phone 563 873-3896
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Ambulance
Lab Director MICHAEL GILMAN

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