26D2057235 CLIA NUMBER - PETTIS COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D2057235
  • Facility Name: PETTIS COUNTY AMBULANCE DISTRICT
  • Facility Address: 210 WEST 4TH STREET
    SEDALIA, MO
    ZIP 65301
  • Facility Phone: 660 829-0777
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JUSTIN CROSS
  • NPI Number: 1013250620
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 26D2057235
LAB Type Ambulance
Facility Name PETTIS COUNTY AMBULANCE DISTRICT
Street 210 WEST 4TH STREET
City SEDALIA
State MO
ZIP 65301
Phone 660 829-0777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Ambulance
Lab Director JUSTIN CROSS

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