24D0994940 CLIA NUMBER - JASPER COMMUNITY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 24D0994940
  • Facility Name: JASPER COMMUNITY AMBULANCE SERVICE
  • Facility Address: 221 1ST STREET WEST
    JASPER, MN
    ZIP 56144
  • Facility Phone: 507 348-7461
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KIM I. DREW
  • NPI Number: 1407804263
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 24D0994940
LAB Type Ambulance
Facility Name JASPER COMMUNITY AMBULANCE SERVICE
Street 221 1ST STREET WEST
City JASPER
State MN
ZIP 56144
Phone 507 348-7461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Ambulance
Lab Director KIM I. DREW

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