CLIA lab

CLIA 06D1026424: Costilla County Ambulance District

San Luis, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 06D1026424 belongs to Costilla County Ambulance District in San Luis, CO.

Certificate of Waiver, effective June 4, 2026, expires June 3, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
June 4, 2026
Certificate expiration
June 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 4, 2004
Facility type
Ambulance
Ownership (control type)
Other
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
06D1026424
Lab name
Costilla County Ambulance District
Address
233 Main Street Building #2, San Luis, CO 81152
Phone
(719) 672-4271
Fax
(719) 672-4277

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in San Luis, CO

Related

Questions

What is the CLIA number for Costilla County Ambulance District in San Luis?

06D1026424, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Costilla County Ambulance District hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 06D1026424 expire?

The CMS file lists June 3, 2028 as the certificate expiration date; the certificate took effect June 4, 2026.

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