17D0978795 CLIA NUMBER - BRUCE'S BODY SHOP INC DBA MARYSVILLE AMBULANCE SVC

Laboratory Demographics

  • CLIA Code: 17D0978795
  • Facility Name: BRUCE'S BODY SHOP INC DBA MARYSVILLE AMBULANCE SVC
  • Facility Address: 1204 CENTER
    MARYSVILLE, KS
    ZIP 66508
  • Facility Phone: 785 562-2359
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES L. KELLER
  • NPI Number: 1124000401
  • Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic

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CLIA Record

Field Name Field Value
CLIA Number 17D0978795
LAB Type Ambulance
Facility Name BRUCE'S BODY SHOP INC DBA MARYSVILLE AMBULANCE SVC
Street 1204 CENTER
City MARYSVILLE
State KS
ZIP 66508
Phone 785 562-2359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Ambulance
Lab Director JAMES L. KELLER

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