16D1058737 CLIA NUMBER - SIOUX CENTER AMBULANCE

Laboratory Demographics

  • CLIA Code: 16D1058737
  • Facility Name: SIOUX CENTER AMBULANCE
  • Facility Address: 410 N MAIN AVENUE, PO BOX 313
    SIOUX CENTER, IA
    ZIP 51250
  • Facility Phone: 712 722-2453
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TRACY FOLTZ
  • NPI Number: 1225507510
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D1058737
LAB Type Ambulance
Facility Name SIOUX CENTER AMBULANCE
Street 410 N MAIN AVENUE, PO BOX 313
City SIOUX CENTER
State IA
ZIP 51250
Phone 712 722-2453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Ambulance
Lab Director TRACY FOLTZ

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