24D1020502 CLIA NUMBER - BRICELYN FIRE & AMBULANCE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 24D1020502
  • Facility Name: BRICELYN FIRE & AMBULANCE DEPARTMENT
  • Facility Address: 203 NORTH MAIN FIRE HALL
    BRICELYN, MN
    ZIP 56014
  • Facility Phone: 507 653-4367
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRIAN EHLERT
  • NPI Number: 1619081320
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 24D1020502
LAB Type Ambulance
Facility Name BRICELYN FIRE & AMBULANCE DEPARTMENT
Street 203 NORTH MAIN FIRE HALL
City BRICELYN
State MN
ZIP 56014
Phone 507 653-4367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Ambulance
Lab Director BRIAN EHLERT

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