16D1092352 CLIA NUMBER - KEYWEST FIRE/EMS

Laboratory Demographics

CLIA Number: 16D1092352

Facility Name: KEYWEST FIRE/EMS

Facility Address:
10640 LAKE ELEANOR ROAD
DUBUQUE, IA
ZIP 52003
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Facility Phone Number: 563 557-9556

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1073539375

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	16D1092352
LAB Type	Ambulance
Facility Name	KEYWEST FIRE/EMS
Street	10640 LAKE ELEANOR ROAD
City	DUBUQUE
State	IA
ZIP	52003
Phone	563 557-9556
CertificateType	4
CertificateEffectiveDate	11/21/2022
CertificateExpirationDate	11/20/2024
FacilityType	Waiver

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