26D1100536 CLIA NUMBER - COLE COUNTY EMERGENCY MEDICAL SERVICES

Laboratory Demographics

CLIA Code: 26D1100536
Facility Name: COLE COUNTY EMERGENCY MEDICAL SERVICES
Facility Address: 1736 SOUTHRIDGE DRIVE
JEFFERSON CITY, MO
ZIP 65109
Facility Phone: 573 680-1770
Facility Type: Ambulance
Facility Type: Waiver
Lab Director: ERIC J. HOY
NPI Number: 1750422176
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	26D1100536
LAB Type	Ambulance
Facility Name	COLE COUNTY EMERGENCY MEDICAL SERVICES
Street	1736 SOUTHRIDGE DRIVE
City	JEFFERSON CITY
State	MO
ZIP	65109
Phone	573 680-1770
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/8/2025
Certificate Expiration Date	6/7/2027
Facility Type	Ambulance
Lab Director	ERIC J. HOY

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