17D2094847 CLIA NUMBER - CLARK COUNTY EMS

Laboratory Demographics

  • CLIA Code: 17D2094847
  • Facility Name: CLARK COUNTY EMS
  • Facility Address: 443 WEST 4TH STREET
    ASHLAND, KS
    ZIP 67831
  • Facility Phone: (620) 635-0087
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MILLIE FUDGE
  • NPI Number: 1285734236
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D2094847
LAB Type Ambulance
Facility Name CLARK COUNTY EMS
Street 443 WEST 4TH STREET
City ASHLAND
State KS
ZIP 67831
Phone 6206350087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Ambulance
Lab Director MILLIE FUDGE

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This page was last updated on: 5/18/2026