17D2138124 CLIA NUMBER - ELLSWORTH COUNTY EMS

Laboratory Demographics

CLIA Number: 17D2138124

Facility Name: ELLSWORTH COUNTY EMS

Facility Address:
1107 EVANS ST
ELLSWORTH, KS
ZIP 67439
Get Directions

Facility Phone Number: 785 472-3454

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1609877398

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	17D2138124
LAB Type	Ambulance
Facility Name	ELLSWORTH COUNTY EMS
Street	1107 EVANS ST
City	ELLSWORTH
State	KS
ZIP	67439
Phone	785 472-3454
CertificateType	4
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024