19D0970679 CLIA NUMBER - ADVANCED EMERGENCY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 19D0970679
  • Facility Name: ADVANCED EMERGENCY MEDICAL SERVICES
  • Facility Address: 900 SHREVEPRT ROAD
    MINDEN, LA
    ZIP 71055
  • Facility Phone: 318 382-1716
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRIAN W. SPARKS
  • NPI Number: 1407906563
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 19D0970679
LAB Type Ambulance
Facility Name ADVANCED EMERGENCY MEDICAL SERVICES
Street 900 SHREVEPRT ROAD
City MINDEN
State LA
ZIP 71055
Phone 318 382-1716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Ambulance
Lab Director BRIAN W. SPARKS

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