17D2161877 CLIA NUMBER - CONCORDIA FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 17D2161877

Facility Name: CONCORDIA FIRE DEPARTMENT

Facility Address:
701 WASHINGTON ST
CONCORDIA, KS
ZIP 66901
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Facility Phone Number: 785 243-4411

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1649516451

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	17D2161877
LAB Type	Ambulance
Facility Name	CONCORDIA FIRE DEPARTMENT
Street	701 WASHINGTON ST
City	CONCORDIA
State	KS
ZIP	66901
Phone	785 243-4411
CertificateType	4
CertificateEffectiveDate	2/12/2023
CertificateExpirationDate	2/11/2025
FacilityType	Waiver

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