16D1052726 CLIA NUMBER - WEST LIBERTY VOLUNTEER FIRE DEPT

Laboratory Demographics

CLIA Number: 16D1052726

Facility Name: WEST LIBERTY VOLUNTEER FIRE DEPT

Facility Address:
109 E 2ND STREET
WEST LIBERTY, IA
ZIP 52776
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Facility Phone Number: 319 627-2303

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1942367362

Taxonomy: 146N00000X - Emergency Medical Technician, Basic
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

CLIA Record

Field Name	Field Value
CLIA Number	16D1052726
LAB Type	Ambulance
Facility Name	WEST LIBERTY VOLUNTEER FIRE DEPT
Street	109 E 2ND STREET
City	WEST LIBERTY
State	IA
ZIP	52776
Phone	319 627-2303
CertificateType	4
CertificateEffectiveDate	4/3/2024
CertificateExpirationDate	4/2/2026
FacilityType	Waiver

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