26D0919595 CLIA NUMBER - MONTGOMERY COUNTY AMBULANCE DIST

Laboratory Demographics

  • CLIA Code: 26D0919595
  • Facility Name: MONTGOMERY COUNTY AMBULANCE DIST
  • Facility Address: 911 BENTON ST
    MONTGOMERY CITY, MO
    ZIP 63361
  • Facility Phone: 573 564-3829
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DAVID M. COLBERT
  • NPI Number: 1932114584
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0919595
LAB Type Other
Facility Name MONTGOMERY COUNTY AMBULANCE DIST
Street 911 BENTON ST
City MONTGOMERY CITY
State MO
ZIP 63361
Phone 573 564-3829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Other
Lab Director DAVID M. COLBERT

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