17D2128807 CLIA NUMBER - QUINTER AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 17D2128807
  • Facility Name: QUINTER AMBULANCE SERVICE
  • Facility Address: 412 MAIN
    QUINTER, KS
    ZIP 67752
  • Facility Phone: 785 754-2288
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KIRBY L. GILLESPIE
  • NPI Number: 1720058324
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D2128807
LAB Type Ambulance
Facility Name QUINTER AMBULANCE SERVICE
Street 412 MAIN
City QUINTER
State KS
ZIP 67752
Phone 785 754-2288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Ambulance
Lab Director KIRBY L. GILLESPIE

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This page was last updated on: 6/4/2025