16D2165928 CLIA NUMBER - MONROE COUNTY HOSPITAL AMBULANCE

Laboratory Demographics

CLIA Number: 16D2165928

Facility Name: MONROE COUNTY HOSPITAL AMBULANCE

Facility Address:
6580 165TH STREET
ALBIA, IA
ZIP 52531
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Facility Phone Number: 641 932-1636

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1205895299

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	16D2165928
LAB Type	Ambulance
Facility Name	MONROE COUNTY HOSPITAL AMBULANCE
Street	6580 165TH STREET
City	ALBIA
State	IA
ZIP	52531
Phone	641 932-1636
CertificateType	4
CertificateEffectiveDate	5/8/2023
CertificateExpirationDate	5/7/2025
FacilityType	Waiver

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