13D2211226 CLIA NUMBER - BRUNDAGE MOUNTAIN PATROL

Laboratory Demographics

  • CLIA Code: 13D2211226
  • Facility Name: BRUNDAGE MOUNTAIN PATROL
  • Facility Address: 3890 GOOSE LAKE RD
    MCCALL, ID
    ZIP 83638
  • Facility Phone: 303 591-5542
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JANNA L. ALLEN
  • NPI Number: 1801692439
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 13D2211226
LAB Type Ambulance
Facility Name BRUNDAGE MOUNTAIN PATROL
Street 3890 GOOSE LAKE RD
City MCCALL
State ID
ZIP 83638
Phone 303 591-5542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Ambulance
Lab Director JANNA L. ALLEN

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