24D0959632 CLIA NUMBER - LAKE CRYSTAL AMBULANCE

Laboratory Demographics

  • CLIA Code: 24D0959632
  • Facility Name: LAKE CRYSTAL AMBULANCE
  • Facility Address: 181 SOUTH HUNT STREET
    LAKE CRYSTAL, MN
    ZIP 56055
  • Facility Phone: 507 726-2440
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RHONDA TRUMAN-INGEBRITSON
  • NPI Number: 1649749540
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D0959632
LAB Type Ambulance
Facility Name LAKE CRYSTAL AMBULANCE
Street 181 SOUTH HUNT STREET
City LAKE CRYSTAL
State MN
ZIP 56055
Phone 507 726-2440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Ambulance
Lab Director RHONDA TRUMAN-INGEBRITSON

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