26D1007990 CLIA NUMBER - ST FRANCOIS CO AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D1007990
  • Facility Name: ST FRANCOIS CO AMBULANCE DISTRICT
  • Facility Address: 820 ELECTRIC ST
    FARMINGTON, MO
    ZIP 63640
  • Facility Phone: 573 431-0030
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID W. TETRAULT
  • NPI Number: 1942385158
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D1007990
LAB Type Ambulance
Facility Name ST FRANCOIS CO AMBULANCE DISTRICT
Street 820 ELECTRIC ST
City FARMINGTON
State MO
ZIP 63640
Phone 573 431-0030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Ambulance
Lab Director DAVID W. TETRAULT

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