26D0961413 CLIA NUMBER - SULLIVAN COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0961413
  • Facility Name: SULLIVAN COUNTY AMBULANCE DISTRICT
  • Facility Address: 113 S LEEWOOD DRIVE
    MILAN, MO
    ZIP 63556
  • Facility Phone: 660 265-3553
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MATT KEUHN
  • NPI Number: 1790781136
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D0961413
LAB Type Other
Facility Name SULLIVAN COUNTY AMBULANCE DISTRICT
Street 113 S LEEWOOD DRIVE
City MILAN
State MO
ZIP 63556
Phone 660 265-3553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Other
Lab Director MATT KEUHN

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