26D0919359 CLIA NUMBER - CLARK COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0919359
  • Facility Name: CLARK COUNTY AMBULANCE DISTRICT
  • Facility Address: 211 N VINE ST
    KAHOKA, MO
    ZIP 63445
  • Facility Phone: 660 727-3612
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DARRIN M. HOWELL
  • NPI Number: 1558340877
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0919359
LAB Type Ambulance
Facility Name CLARK COUNTY AMBULANCE DISTRICT
Street 211 N VINE ST
City KAHOKA
State MO
ZIP 63445
Phone 660 727-3612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Ambulance
Lab Director DARRIN M. HOWELL

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