24D0886903 CLIA NUMBER - THIEF RIVER FALLS AREA AMBULANCE

Laboratory Demographics

  • CLIA Code: 24D0886903
  • Facility Name: THIEF RIVER FALLS AREA AMBULANCE
  • Facility Address: 511 ATLANTIC AVE NORTH
    THIEF RIVER FALLS, MN
    ZIP 56701
  • Facility Phone: 701 364-1704
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SHERMAN A. SYVERSON
  • NPI Number: 1831248434
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 24D0886903
LAB Type Ambulance
Facility Name THIEF RIVER FALLS AREA AMBULANCE
Street 511 ATLANTIC AVE NORTH
City THIEF RIVER FALLS
State MN
ZIP 56701
Phone 701 364-1704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Ambulance
Lab Director SHERMAN A. SYVERSON

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