26D2150761 CLIA NUMBER - DADE COUNTY FIRST RESPONDERS

Laboratory Demographics

  • CLIA Code: 26D2150761
  • Facility Name: DADE COUNTY FIRST RESPONDERS
  • Facility Address: 400 BROAD STREET SUITE 911
    GREENFIELD, MO
    ZIP 65661
  • Facility Phone: 417 988-4302
  • Facility Type: Other - RESCUE SQUAD
  • Facility Type: Waiver
  • Lab Director: DAMON W. WILLISTON
  • NPI Number: 1114174935
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2150761
LAB Type Other - RESCUE SQUAD
Facility Name DADE COUNTY FIRST RESPONDERS
Street 400 BROAD STREET SUITE 911
City GREENFIELD
State MO
ZIP 65661
Phone 417 988-4302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Other - RESCUE SQUAD
Lab Director DAMON W. WILLISTON

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