26D0871547 CLIA NUMBER - PULASKI COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0871547
  • Facility Name: PULASKI COUNTY AMBULANCE DISTRICT
  • Facility Address: 1601 OUSLEY RD
    WAYNESVILLE, MO
    ZIP 65583
  • Facility Phone: 573 774-2807
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MOORE W. RANDALL
  • NPI Number: 1720218126
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 26D0871547
LAB Type Ambulance
Facility Name PULASKI COUNTY AMBULANCE DISTRICT
Street 1601 OUSLEY RD
City WAYNESVILLE
State MO
ZIP 65583
Phone 573 774-2807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Ambulance
Lab Director MOORE W. RANDALL

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