17D1009181 CLIA NUMBER - JEFFERSON COUNTY AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 17D1009181

Facility Name: JEFFERSON COUNTY AMBULANCE SERVICE

Facility Address:
1250 WALNUT STREET
OSKALOOSA, KS
ZIP 66066
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Facility Phone Number: 785 863-2278

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1245321405

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

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
CertificateType	4
CertificateEffectiveDate	2/7/2023
CertificateExpirationDate	2/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024