26D0858257 CLIA NUMBER - CENTRAL JACKSON COUNTY FIRE PROTECTION DISTRICT

Laboratory Demographics

CLIA Number: 26D0858257

Facility Name: CENTRAL JACKSON COUNTY FIRE PROTECTION DISTRICT

Facility Address:
805 NE JEFFERSON
BLUE SPRINGS, MO
ZIP 64014
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Facility Phone Number: 816 229-2522

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1356692750

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	26D0858257
LAB Type	Other
Facility Name	CENTRAL JACKSON COUNTY FIRE PROTECTION DISTRICT
Street	805 NE JEFFERSON
City	BLUE SPRINGS
State	MO
ZIP	64014
Phone	816 229-2522
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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