24D1058296 CLIA NUMBER - LEWISTON AMBULANCE

Laboratory Demographics

  • CLIA Code: 24D1058296
  • Facility Name: LEWISTON AMBULANCE
  • Facility Address: 75 RICE STREET
    LEWISTON, MN
    ZIP 55952
  • Facility Phone: 507 523-2982
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATT ESSIG
  • NPI Number: 1801443049
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 24D1058296
LAB Type Ambulance
Facility Name LEWISTON AMBULANCE
Street 75 RICE STREET
City LEWISTON
State MN
ZIP 55952
Phone 507 523-2982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Ambulance
Lab Director MATT ESSIG

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