24D1078057 CLIA NUMBER - JOHNSON MEMORIAL AMBULANCE SERVICES

Laboratory Demographics

  • CLIA Code: 24D1078057
  • Facility Name: JOHNSON MEMORIAL AMBULANCE SERVICES
  • Facility Address: 1282 WALNUT STREET
    DAWSON, MN
    ZIP 56232
  • Facility Phone: 320 769-4323
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RALPH L. GERBIG
  • NPI Number: 1861506354
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D1078057
LAB Type Ambulance
Facility Name JOHNSON MEMORIAL AMBULANCE SERVICES
Street 1282 WALNUT STREET
City DAWSON
State MN
ZIP 56232
Phone 320 769-4323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Ambulance
Lab Director RALPH L. GERBIG

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