16D2181216 CLIA NUMBER - BUCHANAN COUNTY EMS ASSOCIATION

Laboratory Demographics

  • CLIA Code: 16D2181216
  • Facility Name: BUCHANAN COUNTY EMS ASSOCIATION
  • Facility Address: 1210 1ST ST W
    INDEPENDENCE, IA
    ZIP 50644
  • Facility Phone: 319 215-2814
  • Facility Type: Other - HEALTH CARE PROVIDER BCHC
  • Facility Type: Waiver
  • Lab Director: DAN WALTER
  • NPI Number: 1306921333
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 16D2181216
LAB Type Other - HEALTH CARE PROVIDER BCHC
Facility Name BUCHANAN COUNTY EMS ASSOCIATION
Street 1210 1ST ST W
City INDEPENDENCE
State IA
ZIP 50644
Phone 319 215-2814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Other - HEALTH CARE PROVIDER BCHC
Lab Director DAN WALTER

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