17D2128280 CLIA NUMBER - WALLACE COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 17D2128280
  • Facility Name: WALLACE COUNTY AMBULANCE
  • Facility Address: 518 E 6TH ST
    SHARON SPRINGS, KS
    ZIP 67758
  • Facility Phone: 785 821-0423
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PAULETTE UNRUH
  • NPI Number: 1770818072
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 17D2128280
LAB Type Ambulance
Facility Name WALLACE COUNTY AMBULANCE
Street 518 E 6TH ST
City SHARON SPRINGS
State KS
ZIP 67758
Phone 785 821-0423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Ambulance
Lab Director PAULETTE UNRUH

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