26D1099699 CLIA NUMBER - MADISON COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D1099699
  • Facility Name: MADISON COUNTY AMBULANCE DISTRICT
  • Facility Address: 126 RIVER BLUFF DRIVE
    FREDERICKTOWN, MO
    ZIP 63645
  • Facility Phone: 573 783-7900
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SHAYNE KEDDY
  • NPI Number: 1760630032
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D1099699
LAB Type Ambulance
Facility Name MADISON COUNTY AMBULANCE DISTRICT
Street 126 RIVER BLUFF DRIVE
City FREDERICKTOWN
State MO
ZIP 63645
Phone 573 783-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Ambulance
Lab Director SHAYNE KEDDY

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