26D0919695 CLIA NUMBER - MEDIC ONE AMBULANCE

Laboratory Demographics

  • CLIA Code: 26D0919695
  • Facility Name: MEDIC ONE AMBULANCE
  • Facility Address: 1530 FAIRVIEW AVE
    SAINT LOUIS, MO
    ZIP 63132
  • Facility Phone: 314 881-4502
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LINDSAY D. CLANCY
  • NPI Number: 1578034302
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0919695
LAB Type Ambulance
Facility Name MEDIC ONE AMBULANCE
Street 1530 FAIRVIEW AVE
City SAINT LOUIS
State MO
ZIP 63132
Phone 314 881-4502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Ambulance
Lab Director LINDSAY D. CLANCY

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