18D0869410 CLIA NUMBER - LYON COUNTY EMERGENCY AMBULANCE SVC

Laboratory Demographics

  • CLIA Code: 18D0869410
  • Facility Name: LYON COUNTY EMERGENCY AMBULANCE SVC
  • Facility Address: 236 COMMERCE STREET
    EDDYVILLE, KY
    ZIP 42038
  • Facility Phone: 270 388-7167
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ADAM LYONS
  • NPI Number: 1487651543
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D0869410
LAB Type Mobile Laboratory
Facility Name LYON COUNTY EMERGENCY AMBULANCE SVC
Street 236 COMMERCE STREET
City EDDYVILLE
State KY
ZIP 42038
Phone 270 388-7167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Mobile Laboratory
Lab Director ADAM LYONS

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