16D1040159 CLIA NUMBER - SILVER CITY FIRE AND RESCUE

Laboratory Demographics

CLIA Number: 16D1040159

Facility Name: SILVER CITY FIRE AND RESCUE

Facility Address:
414 MAIN STREET
SILVER CITY, IA
ZIP 51571
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Facility Phone Number: 712 525-1090

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1366402307

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	16D1040159
LAB Type	Ambulance
Facility Name	SILVER CITY FIRE AND RESCUE
Street	414 MAIN STREET
City	SILVER CITY
State	IA
ZIP	51571
Phone	712 525-1090
CertificateType	4
CertificateEffectiveDate	3/4/2024
CertificateExpirationDate	3/3/2026
FacilityType	Waiver

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