17D0994061 CLIA NUMBER - HASKELL COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 17D0994061
  • Facility Name: HASKELL COUNTY AMBULANCE SERVICE
  • Facility Address: 700 W LALANDE
    SUBLETTE, KS
    ZIP 67877
  • Facility Phone: 620 675-2485
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DEBRA T. BROWN
  • NPI Number: 1043527575
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0994061
LAB Type Ambulance
Facility Name HASKELL COUNTY AMBULANCE SERVICE
Street 700 W LALANDE
City SUBLETTE
State KS
ZIP 67877
Phone 620 675-2485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Ambulance
Lab Director DEBRA T. BROWN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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