16D1082966 CLIA NUMBER - MONDAMIN FIRE AND RESCUE

Laboratory Demographics

  • CLIA Code: 16D1082966
  • Facility Name: MONDAMIN FIRE AND RESCUE
  • Facility Address: 602 MAPLE STREET
    MONDAMIN, IA
    ZIP 51557
  • Facility Phone: 712 646-2919
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: AHMAD ALCHOMMALI
  • NPI Number: 1033252994
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D1082966
LAB Type Ambulance
Facility Name MONDAMIN FIRE AND RESCUE
Street 602 MAPLE STREET
City MONDAMIN
State IA
ZIP 51557
Phone 712 646-2919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Ambulance
Lab Director AHMAD ALCHOMMALI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025