26D0926204 CLIA NUMBER - STEELVILLE AMBULANCE DISTRICT

Laboratory Demographics

CLIA Number: 26D0926204

Facility Name: STEELVILLE AMBULANCE DISTRICT

Facility Address:
#1 EMS LANE, PO BOX 541
STEELVILLE, MO
ZIP 65565
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Facility Phone Number: 573 775-2211

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1710012778

Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

CLIA Record

Field Name	Field Value
CLIA Number	26D0926204
LAB Type	Practitioner Other
Facility Name	STEELVILLE AMBULANCE DISTRICT
Street	#1 EMS LANE, PO BOX 541
City	STEELVILLE
State	MO
ZIP	65565
Phone	573 775-2211
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024