24D1017461 CLIA NUMBER - LAKE CITY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 24D1017461
  • Facility Name: LAKE CITY AMBULANCE SERVICE
  • Facility Address: 601 NORTH 10TH STREET
    LAKE CITY, MN
    ZIP 55041
  • Facility Phone: 651 345-3030
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SARA RYBARCZYK
  • NPI Number: 1992879134
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D1017461
LAB Type Ambulance
Facility Name LAKE CITY AMBULANCE SERVICE
Street 601 NORTH 10TH STREET
City LAKE CITY
State MN
ZIP 55041
Phone 651 345-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Ambulance
Lab Director SARA RYBARCZYK

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