24D0994682 CLIA NUMBER - BIGFORK AMBULANCE SERVICE ASSOCIATION

Laboratory Demographics

  • CLIA Code: 24D0994682
  • Facility Name: BIGFORK AMBULANCE SERVICE ASSOCIATION
  • Facility Address: 105 ASH STREET
    BIGFORK, MN
    ZIP 56628
  • Facility Phone: 218 259-1017
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ERIC SCRIVNER
  • NPI Number: 1669585329
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 24D0994682
LAB Type Ambulance
Facility Name BIGFORK AMBULANCE SERVICE ASSOCIATION
Street 105 ASH STREET
City BIGFORK
State MN
ZIP 56628
Phone 218 259-1017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Ambulance
Lab Director ERIC SCRIVNER

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