26D0919677 CLIA NUMBER - CALLAWAY COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0919677
  • Facility Name: CALLAWAY COUNTY AMBULANCE DISTRICT
  • Facility Address: 2614 FAIRWAY DRIVE
    FULTON, MO
    ZIP 65251
  • Facility Phone: 573 642-7260
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHARLES W. ANDERSON
  • NPI Number: 1578671616
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0919677
LAB Type Ambulance
Facility Name CALLAWAY COUNTY AMBULANCE DISTRICT
Street 2614 FAIRWAY DRIVE
City FULTON
State MO
ZIP 65251
Phone 573 642-7260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Ambulance
Lab Director CHARLES W. ANDERSON

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