17D0997217 CLIA NUMBER - EDWARDSVILLE FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 17D0997217
  • Facility Name: EDWARDSVILLE FIRE DEPARTMENT
  • Facility Address: 698 S 4TH ST
    EDWARDSVILLE, KS
    ZIP 66111
  • Facility Phone: 913 356-6076
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BENJAMIN MORROW
  • NPI Number: 1831646611
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0997217
LAB Type Ambulance
Facility Name EDWARDSVILLE FIRE DEPARTMENT
Street 698 S 4TH ST
City EDWARDSVILLE
State KS
ZIP 66111
Phone 913 356-6076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Ambulance
Lab Director BENJAMIN MORROW

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: 3/20/2025