17D0936064 CLIA NUMBER - CHEROKEE COUNTY AMBULANCE ASSOCIATION, INC

Laboratory Demographics

  • CLIA Code: 17D0936064
  • Facility Name: CHEROKEE COUNTY AMBULANCE ASSOCIATION, INC
  • Facility Address: 516 N KANSAS
    COLUMBUS, KS
    ZIP 66725
  • Facility Phone: 620 429-3018
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DOUGLAS C. MOGLE
  • NPI Number: 1942390638
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D0936064
LAB Type Ambulance
Facility Name CHEROKEE COUNTY AMBULANCE ASSOCIATION, INC
Street 516 N KANSAS
City COLUMBUS
State KS
ZIP 66725
Phone 620 429-3018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Ambulance
Lab Director DOUGLAS C. MOGLE

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