37D0952224 CLIA NUMBER - ELLIS COUNTY EMERGENCY MEDICAL SERVICE

Laboratory Demographics

  • CLIA Code: 37D0952224
  • Facility Name: ELLIS COUNTY EMERGENCY MEDICAL SERVICE
  • Facility Address: 1201 E FIRST STREET
    SHATTUCK, OK
    ZIP 73858
  • Facility Phone: 580 799-3789
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JUSTIN J. LONGHOFER
  • NPI Number: 1942203070
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 37D0952224
LAB Type Other
Facility Name ELLIS COUNTY EMERGENCY MEDICAL SERVICE
Street 1201 E FIRST STREET
City SHATTUCK
State OK
ZIP 73858
Phone 580 799-3789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Other
Lab Director JUSTIN J. LONGHOFER

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This page was last updated on: 3/20/2025