26D2053784 CLIA NUMBER - WEST CARTER COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D2053784
  • Facility Name: WEST CARTER COUNTY AMBULANCE DISTRICT
  • Facility Address: 130 MAIN STREET
    VAN BUREN, MO
    ZIP 63965
  • Facility Phone: 573 323-4791
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. KENNEDY
  • NPI Number: 1962528760
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D2053784
LAB Type Ambulance
Facility Name WEST CARTER COUNTY AMBULANCE DISTRICT
Street 130 MAIN STREET
City VAN BUREN
State MO
ZIP 63965
Phone 573 323-4791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Ambulance
Lab Director MICHAEL J. KENNEDY

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