17D0980592 CLIA NUMBER - STANTON COUNTY EMS

Laboratory Demographics

  • CLIA Code: 17D0980592
  • Facility Name: STANTON COUNTY EMS
  • Facility Address: 101 S FRONTAGE RD
    JOHNSON, KS
    ZIP 67855
  • Facility Phone: 620 492-6879
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: WILLIAM R. TROUP
  • NPI Number: 1295792869
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D0980592
LAB Type Ambulance
Facility Name STANTON COUNTY EMS
Street 101 S FRONTAGE RD
City JOHNSON
State KS
ZIP 67855
Phone 620 492-6879
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Ambulance
Lab Director WILLIAM R. TROUP

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