26D1062684 CLIA NUMBER - WORTH COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 26D1062684
  • Facility Name: WORTH COUNTY AMBULANCE
  • Facility Address: 503 E 4TH STREET
    GRANT CITY, MO
    ZIP 64456
  • Facility Phone: 660 786-2351
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARTIN ANGELIA
  • NPI Number: 1053415265
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D1062684
LAB Type Ambulance
Facility Name WORTH COUNTY AMBULANCE
Street 503 E 4TH STREET
City GRANT CITY
State MO
ZIP 64456
Phone 660 786-2351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Ambulance
Lab Director MARTIN ANGELIA

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