17D1009181 CLIA NUMBER - JEFFERSON COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 17D1009181
  • Facility Name: JEFFERSON COUNTY AMBULANCE SERVICE
  • Facility Address: 1250 WALNUT STREET
    OSKALOOSA, KS
    ZIP 66066
  • Facility Phone: 785 863-2278
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JAMES TWEED
  • NPI Number: 1245321405
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D1009181
LAB Type Federally Qualified Health Center
Facility Name JEFFERSON COUNTY AMBULANCE SERVICE
Street 1250 WALNUT STREET
City OSKALOOSA
State KS
ZIP 66066
Phone 785 863-2278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Federally Qualified Health Center
Lab Director JAMES TWEED

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