26D0965446 CLIA NUMBER - DEKALB CLINTON AMBULANCE DISTRICT

Laboratory Demographics

CLIA Number: 26D0965446

Facility Name: DEKALB CLINTON AMBULANCE DISTRICT

Facility Address:
108 E 4TH
STEWARTSVILLE, MO
ZIP 64490
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Facility Phone Number: 816 669-3642

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1477550937

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	26D0965446
LAB Type	Ambulance
Facility Name	DEKALB CLINTON AMBULANCE DISTRICT
Street	108 E 4TH
City	STEWARTSVILLE
State	MO
ZIP	64490
Phone	816 669-3642
CertificateType	4
CertificateEffectiveDate	9/21/2023
CertificateExpirationDate	9/20/2025
FacilityType	Waiver

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