16D2125960 CLIA NUMBER - GLADBROOK - LINCOLN AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 16D2125960
  • Facility Name: GLADBROOK - LINCOLN AMBULANCE SERVICE
  • Facility Address: 1254 HIGHWAY 96
    GLADBROOK, IA
    ZIP 50635
  • Facility Phone: 641 473-2281
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KERN L. KEMP
  • NPI Number: 1477535870
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D2125960
LAB Type Ambulance
Facility Name GLADBROOK - LINCOLN AMBULANCE SERVICE
Street 1254 HIGHWAY 96
City GLADBROOK
State IA
ZIP 50635
Phone 641 473-2281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Ambulance
Lab Director KERN L. KEMP

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