26D2208999 CLIA NUMBER - COOPER COUNTY AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 26D2208999
  • Facility Name: COOPER COUNTY AMBULANCE DISTRICT
  • Facility Address: 604 RANKIN MILL LN
    BOONVILLE, MO
    ZIP 65233
  • Facility Phone: 660 882-3380
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KEVIN R. SWARTZ
  • NPI Number: 1811332935
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2208999
LAB Type Ambulance
Facility Name COOPER COUNTY AMBULANCE DISTRICT
Street 604 RANKIN MILL LN
City BOONVILLE
State MO
ZIP 65233
Phone 660 882-3380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Ambulance
Lab Director KEVIN R. SWARTZ

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