24D0978831 CLIA NUMBER - RUSHFORD COMMUNITY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 24D0978831
  • Facility Name: RUSHFORD COMMUNITY AMBULANCE SERVICE
  • Facility Address: 403 SOUTH ELM STREET
    RUSHFORD, MN
    ZIP 55971
  • Facility Phone: 507 864-7577
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LYNN HUMBLE
  • NPI Number: 1639114168
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D0978831
LAB Type Ambulance
Facility Name RUSHFORD COMMUNITY AMBULANCE SERVICE
Street 403 SOUTH ELM STREET
City RUSHFORD
State MN
ZIP 55971
Phone 507 864-7577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Ambulance
Lab Director LYNN HUMBLE

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