26D2079860 CLIA NUMBER - EAST CARTER COUNTY AMBULANCE

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Laboratory Demographics

CLIA Number: 26D2079860

Facility Name: EAST CARTER COUNTY AMBULANCE

Facility Address:
2004 HIGHWAY A
ELLSINORE, MO
ZIP 63937
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Facility Phone Number: 573 322-8308

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1194929240

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	26D2079860
LAB Type	Ambulance
Facility Name	EAST CARTER COUNTY AMBULANCE
Street	2004 HIGHWAY A
City	ELLSINORE
State	MO
ZIP	63937
Phone	573 322-8308
CertificateType	4
CertificateEffectiveDate	6/25/2022
CertificateExpirationDate	6/24/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024