24D0970411 CLIA NUMBER - RAYMOND AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 24D0970411

Facility Name: RAYMOND AMBULANCE SERVICE

Facility Address:
309 SQUIRE AVENUE
RAYMOND, MN
ZIP 56282
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Facility Phone Number: 320 967-4221

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1891907697

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	24D0970411
LAB Type	Ambulance
Facility Name	RAYMOND AMBULANCE SERVICE
Street	309 SQUIRE AVENUE
City	RAYMOND
State	MN
ZIP	56282
Phone	320 967-4221
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

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