26D1004414 CLIA NUMBER - SOUTH SCOTT COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D1004414
  • Facility Name: SOUTH SCOTT COUNTY AMBULANCE DISTRICT
  • Facility Address: 202 LILLIAN DRIVE
    SIKESTON, MO
    ZIP 63801
  • Facility Phone: 573 472-4161
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRAD GOLDEN
  • NPI Number: 1780888255
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D1004414
LAB Type Ambulance
Facility Name SOUTH SCOTT COUNTY AMBULANCE DISTRICT
Street 202 LILLIAN DRIVE
City SIKESTON
State MO
ZIP 63801
Phone 573 472-4161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Ambulance
Lab Director BRAD GOLDEN

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