17D2090294 CLIA NUMBER - CANTON AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 17D2090294
  • Facility Name: CANTON AMBULANCE SERVICE
  • Facility Address: 201 SOUTH MAIN
    CANTON, KS
    ZIP 67428
  • Facility Phone: 620 628-4666
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: VIDA MANN
  • NPI Number: 1437289428
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D2090294
LAB Type Ambulance
Facility Name CANTON AMBULANCE SERVICE
Street 201 SOUTH MAIN
City CANTON
State KS
ZIP 67428
Phone 620 628-4666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Ambulance
Lab Director VIDA MANN

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