24D0920460 CLIA NUMBER - BLACKDUCK AMBULANCE ASSOC, INC

Laboratory Demographics

  • CLIA Code: 24D0920460
  • Facility Name: BLACKDUCK AMBULANCE ASSOC, INC
  • Facility Address: PO BOX 400
    BLACKDUCK, MN
    ZIP 56630
  • Facility Phone: 218 835-4800
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PETER E. ERIKSSON
  • NPI Number: 1932212693
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 24D0920460
LAB Type Other
Facility Name BLACKDUCK AMBULANCE ASSOC, INC
Street PO BOX 400
City BLACKDUCK
State MN
ZIP 56630
Phone 218 835-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Other
Lab Director PETER E. ERIKSSON

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