16D2163936 CLIA NUMBER - GREENE COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 16D2163936
  • Facility Name: GREENE COUNTY AMBULANCE
  • Facility Address: 204 N GRIMMELL RD
    JEFFERSON, IA
    ZIP 50129
  • Facility Phone: 515 386-3101
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHELE S. MADSEN
  • NPI Number: 1780148932
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D2163936
LAB Type Ambulance
Facility Name GREENE COUNTY AMBULANCE
Street 204 N GRIMMELL RD
City JEFFERSON
State IA
ZIP 50129
Phone 515 386-3101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Ambulance
Lab Director MICHELE S. MADSEN

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