26D1070082 CLIA NUMBER - SOUTHERN JACKSON COUNTY FIRE PROTECTION DISTRICT

Laboratory Demographics

  • CLIA Code: 26D1070082
  • Facility Name: SOUTHERN JACKSON COUNTY FIRE PROTECTION DISTRICT
  • Facility Address: 101 LOTAWANA DRIVE
    LAKE LOTAWANA, MO
    ZIP 64086
  • Facility Phone: 816 578-4211
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SCOTT C. PRICE
  • NPI Number: 1003419490
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D1070082
LAB Type Ambulance
Facility Name SOUTHERN JACKSON COUNTY FIRE PROTECTION DISTRICT
Street 101 LOTAWANA DRIVE
City LAKE LOTAWANA
State MO
ZIP 64086
Phone 816 578-4211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Ambulance
Lab Director SCOTT C. PRICE

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