17D2134554 CLIA NUMBER - COMANCHE COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 17D2134554
  • Facility Name: COMANCHE COUNTY AMBULANCE SERVICE
  • Facility Address: 403 N CENTRAL
    COLDWATER, KS
    ZIP 67029
  • Facility Phone: (620) 582-2126
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TERRI J. BROSIUS
  • NPI Number: 1639274871
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D2134554
LAB Type Ambulance
Facility Name COMANCHE COUNTY AMBULANCE SERVICE
Street 403 N CENTRAL
City COLDWATER
State KS
ZIP 67029
Phone 6205822126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Ambulance
Lab Director TERRI J. BROSIUS

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