26D1000200 CLIA NUMBER - SLATER AMBULANCE DISTRICT #1

Laboratory Demographics

CLIA Number: 26D1000200

Facility Name: SLATER AMBULANCE DISTRICT #1

Facility Address:
102 NORTH MAIN
SLATER, MO
ZIP 65349
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Facility Phone Number: 660 529-2316

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1831224427

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	26D1000200
LAB Type	Ambulance
Facility Name	SLATER AMBULANCE DISTRICT #1
Street	102 NORTH MAIN
City	SLATER
State	MO
ZIP	65349
Phone	660 529-2316
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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