26D1073812 CLIA NUMBER - VAN-FAR AMBULANCE

Laboratory Demographics

  • CLIA Code: 26D1073812
  • Facility Name: VAN-FAR AMBULANCE
  • Facility Address: 114 E PARK STREET
    VANDALIA, MO
    ZIP 63382
  • Facility Phone: 573 594-2112
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TAMMY M. NELSON
  • NPI Number: 1558362327
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1073812
LAB Type Ambulance
Facility Name VAN-FAR AMBULANCE
Street 114 E PARK STREET
City VANDALIA
State MO
ZIP 63382
Phone 573 594-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Ambulance
Lab Director TAMMY M. NELSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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