24D1032371 CLIA NUMBER - LEECH LAKE EMS/AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 24D1032371
  • Facility Name: LEECH LAKE EMS/AMBULANCE SERVICE
  • Facility Address: 317 7TH ST NW
    CASS LAKE, MN
    ZIP 56633
  • Facility Phone: 218 335-6363
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TERENCE OCONNOR
  • NPI Number: 1447264866
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 24D1032371
LAB Type Ambulance
Facility Name LEECH LAKE EMS/AMBULANCE SERVICE
Street 317 7TH ST NW
City CASS LAKE
State MN
ZIP 56633
Phone 218 335-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Ambulance
Lab Director TERENCE OCONNOR

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