16D1005948 CLIA NUMBER - TIPTON AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 16D1005948

Facility Name: TIPTON AMBULANCE SERVICE

Facility Address:
210 W 1ST STREET
TIPTON, IA
ZIP 52772
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Facility Phone Number: 563 886-6187

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1144290461

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	16D1005948
LAB Type	Ambulance
Facility Name	TIPTON AMBULANCE SERVICE
Street	210 W 1ST STREET
City	TIPTON
State	IA
ZIP	52772
Phone	563 886-6187
CertificateType	4
CertificateEffectiveDate	11/4/2022
CertificateExpirationDate	11/3/2024
FacilityType	Waiver

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