26D0891951 CLIA NUMBER - EAST WAYNE COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0891951
  • Facility Name: EAST WAYNE COUNTY AMBULANCE DISTRICT
  • Facility Address: PO BOX 173
    GREENVILLE, MO
    ZIP 63944
  • Facility Phone: 573 224-5501
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KENNETH C. STUDYVIN
  • NPI Number: 1063584506
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0891951
LAB Type Mobile Laboratory
Facility Name EAST WAYNE COUNTY AMBULANCE DISTRICT
Street PO BOX 173
City GREENVILLE
State MO
ZIP 63944
Phone 573 224-5501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Mobile Laboratory
Lab Director KENNETH C. STUDYVIN

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