16D1059504 CLIA NUMBER - CITY OF BAXTER-BAXTER RESCUE UNIT

Laboratory Demographics

  • CLIA Code: 16D1059504
  • Facility Name: CITY OF BAXTER-BAXTER RESCUE UNIT
  • Facility Address: 203 SOUTH MAIN STREET
    BAXTER, IA
    ZIP 50028
  • Facility Phone: 641 521-1037
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATT FERGUSON
  • NPI Number: 1922234400
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D1059504
LAB Type Ambulance
Facility Name CITY OF BAXTER-BAXTER RESCUE UNIT
Street 203 SOUTH MAIN STREET
City BAXTER
State IA
ZIP 50028
Phone 641 521-1037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Ambulance
Lab Director MATT FERGUSON

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