26D0926583 CLIA NUMBER - DIXON AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0926583
  • Facility Name: DIXON AMBULANCE DISTRICT
  • Facility Address: 305 SOUTH ELLEN STREET PO BOX 396
    DIXON, MO
    ZIP 65459
  • Facility Phone: (573) 759-7447
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CHARLES LUDY
  • NPI Number: 1770621542
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0926583
LAB Type Mobile Laboratory
Facility Name DIXON AMBULANCE DISTRICT
Street 305 SOUTH ELLEN STREET PO BOX 396
City DIXON
State MO
ZIP 65459
Phone 5737597447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Mobile Laboratory
Lab Director CHARLES LUDY

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This page was last updated on: 5/18/2026