24D1052151 CLIA NUMBER - WINTHROP AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 24D1052151

Facility Name: WINTHROP AMBULANCE SERVICE

Facility Address:
305 N MAIN
WINTHROP, MN
ZIP 55396
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Facility Phone Number: 507 647-5306

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1801956644

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	24D1052151
LAB Type	Ambulance
Facility Name	WINTHROP AMBULANCE SERVICE
Street	305 N MAIN
City	WINTHROP
State	MN
ZIP	55396
Phone	507 647-5306
CertificateType	4
CertificateEffectiveDate	3/20/2024
CertificateExpirationDate	3/19/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024