16D1022260 CLIA NUMBER - CENTRALIA/PEOSTA FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 16D1022260
  • Facility Name: CENTRALIA/PEOSTA FIRE DEPARTMENT
  • Facility Address: 8579 TENNIS LANE
    PEOSTA, IA
    ZIP 52068
  • Facility Phone: 563 582-3869
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JILL M. HUNT
  • NPI Number: 1972583714
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D1022260
LAB Type Ambulance
Facility Name CENTRALIA/PEOSTA FIRE DEPARTMENT
Street 8579 TENNIS LANE
City PEOSTA
State IA
ZIP 52068
Phone 563 582-3869
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Ambulance
Lab Director JILL M. HUNT

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This page was last updated on: 6/4/2025