17D0926145 CLIA NUMBER - GRANT COUNTY EMS

Laboratory Demographics

  • CLIA Code: 17D0926145
  • Facility Name: GRANT COUNTY EMS
  • Facility Address: 320 E OKLAHOMA AVENUE
    ULYSSES, KS
    ZIP 67880
  • Facility Phone: 620 356-3400
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JERRY JO DECKERT
  • NPI Number: 1669441523
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D0926145
LAB Type Ambulance
Facility Name GRANT COUNTY EMS
Street 320 E OKLAHOMA AVENUE
City ULYSSES
State KS
ZIP 67880
Phone 620 356-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Ambulance
Lab Director JERRY JO DECKERT

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