24D1063963 CLIA NUMBER - RED LAKE FALLS VOLUNTEER AMBULANCE

Laboratory Demographics

  • CLIA Code: 24D1063963
  • Facility Name: RED LAKE FALLS VOLUNTEER AMBULANCE
  • Facility Address: 201 CHAMPAGNE AVE
    RED LAKE FALLS, MN
    ZIP 56750
  • Facility Phone: 218 253-2035
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BONNIE J. PHALEN
  • NPI Number: 1205064300
  • Taxonomy: 251B00000X - Case Management

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1063963
LAB Type Ambulance
Facility Name RED LAKE FALLS VOLUNTEER AMBULANCE
Street 201 CHAMPAGNE AVE
City RED LAKE FALLS
State MN
ZIP 56750
Phone 218 253-2035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Ambulance
Lab Director BONNIE J. PHALEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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