16D2320863 CLIA NUMBER - PRIMGHAR AMBULANCE

Laboratory Demographics

  • CLIA Code: 16D2320863
  • Facility Name: PRIMGHAR AMBULANCE
  • Facility Address: 360 3RD ST SE
    PRIMGHAR, IA
    ZIP 51245
  • Facility Phone: 712 957-2435
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEREMY L. MCCLAREN
  • NPI Number: 1932278967
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 16D2320863
LAB Type Ambulance
Facility Name PRIMGHAR AMBULANCE
Street 360 3RD ST SE
City PRIMGHAR
State IA
ZIP 51245
Phone 712 957-2435
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 JEREMY L. MCCLAREN

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