16D1058737 CLIA NUMBER - SIOUX CENTER AMBULANCE

Laboratory Demographics

CLIA Number: 16D1058737

Facility Name: SIOUX CENTER AMBULANCE

Facility Address:
410 N MAIN AVENUE, PO BOX 313
SIOUX CENTER, IA
ZIP 51250
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Facility Phone Number: 712 722-2453

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1225507510

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

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