26D1026486 CLIA NUMBER - ST JAMES AMBULANCE DISTRICT

Laboratory Demographics

CLIA Number: 26D1026486

Facility Name: ST JAMES AMBULANCE DISTRICT

Facility Address:
203 N LOUISE STREET
SAINT JAMES, MO
ZIP 65559
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Facility Phone Number: 573 265-6565

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1790895100

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	26D1026486
LAB Type	Ambulance
Facility Name	ST JAMES AMBULANCE DISTRICT
Street	203 N LOUISE STREET
City	SAINT JAMES
State	MO
ZIP	65559
Phone	573 265-6565
CertificateType	4
CertificateEffectiveDate	6/7/2022
CertificateExpirationDate	6/6/2024
FacilityType	Waiver

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