17D0926506 CLIA NUMBER - HAVEN COMMUNITY AMBULANCE

Laboratory Demographics

  • CLIA Code: 17D0926506
  • Facility Name: HAVEN COMMUNITY AMBULANCE
  • Facility Address: 102 S KANSAS
    HAVEN, KS
    ZIP 67543
  • Facility Phone: 620 465-2364
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TONY TROYER
  • NPI Number: 1114992096
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D0926506
LAB Type Ambulance
Facility Name HAVEN COMMUNITY AMBULANCE
Street 102 S KANSAS
City HAVEN
State KS
ZIP 67543
Phone 620 465-2364
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 TONY TROYER

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