17D2088668 CLIA NUMBER - FORD COUNTY FIRE & EMS

Laboratory Demographics

  • CLIA Code: 17D2088668
  • Facility Name: FORD COUNTY FIRE & EMS
  • Facility Address: 10996 113 ROAD
    DODGE CITY, KS
    ZIP 67801
  • Facility Phone: 620 227-4638
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TERRY L. TAYLOR
  • NPI Number: 1851473235
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D2088668
LAB Type Ambulance
Facility Name FORD COUNTY FIRE & EMS
Street 10996 113 ROAD
City DODGE CITY
State KS
ZIP 67801
Phone 620 227-4638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Ambulance
Lab Director TERRY L. TAYLOR

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