17D2137714 CLIA NUMBER - CLEARWATER EMERGENCY SERVICES

Laboratory Demographics

  • CLIA Code: 17D2137714
  • Facility Name: CLEARWATER EMERGENCY SERVICES
  • Facility Address: 319 W ROSS ST
    CLEARWATER, KS
    ZIP 67026
  • Facility Phone: 620 584-2816
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JUSTIN PATRICK
  • NPI Number: 1376197756
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2137714
LAB Type Ambulance
Facility Name CLEARWATER EMERGENCY SERVICES
Street 319 W ROSS ST
City CLEARWATER
State KS
ZIP 67026
Phone 620 584-2816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Ambulance
Lab Director JUSTIN PATRICK

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