29D2210867 CLIA NUMBER - WENDOVER AMBULANCE

Laboratory Demographics

CLIA Number: 29D2210867

Facility Name: WENDOVER AMBULANCE

Facility Address:
427 MESA ST
WEST WENDOVER, NV
ZIP 89883
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Facility Phone Number: 775 664-2081

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1972500445

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	29D2210867
LAB Type	Ambulance
Facility Name	WENDOVER AMBULANCE
Street	427 MESA ST
City	WEST WENDOVER
State	NV
ZIP	89883
Phone	775 664-2081
CertificateType	4
CertificateEffectiveDate	1/25/2023
CertificateExpirationDate	1/24/2025
FacilityType	Waiver

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