24D0956638 CLIA NUMBER - EYOTA VOLUNTEER AMBULANCE

Laboratory Demographics

CLIA Number: 24D0956638

Facility Name: EYOTA VOLUNTEER AMBULANCE

Facility Address:
753 ROBERT AVE SW
EYOTA, MN
ZIP 55934
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Facility Phone Number: 507 545-2868

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1033321831

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	24D0956638
LAB Type	Ambulance
Facility Name	EYOTA VOLUNTEER AMBULANCE
Street	753 ROBERT AVE SW
City	EYOTA
State	MN
ZIP	55934
Phone	507 545-2868
CertificateType	4
CertificateEffectiveDate	2/11/2024
CertificateExpirationDate	2/10/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024