26D0919691 CLIA NUMBER - TANEY COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0919691
  • Facility Name: TANEY COUNTY AMBULANCE DISTRICT
  • Facility Address: 106 INDUSTRIAL PARK DR
    HOLLISTER, MO
    ZIP 65672
  • Facility Phone: 417 334-6586
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TODD F. BAKER
  • NPI Number: 1750380044
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0919691
LAB Type Ambulance
Facility Name TANEY COUNTY AMBULANCE DISTRICT
Street 106 INDUSTRIAL PARK DR
City HOLLISTER
State MO
ZIP 65672
Phone 417 334-6586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Ambulance
Lab Director TODD F. BAKER

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