26D0917450 CLIA NUMBER - NORTH SCOTT COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0917450
  • Facility Name: NORTH SCOTT COUNTY AMBULANCE DISTRICT
  • Facility Address: 28825 US HIGHWAY 61
    SCOTT CITY, MO
    ZIP 63780
  • Facility Phone: 573 887-6311
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: LARRY CHASTEEN
  • NPI Number: 1265594485
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0917450
LAB Type Mobile Laboratory
Facility Name NORTH SCOTT COUNTY AMBULANCE DISTRICT
Street 28825 US HIGHWAY 61
City SCOTT CITY
State MO
ZIP 63780
Phone 573 887-6311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Mobile Laboratory
Lab Director LARRY CHASTEEN

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