24D2037322 CLIA NUMBER - ESSENTIA HEALTH EMERGENCY MEDICAL SERVICES SANDSTONE

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Laboratory Demographics

CLIA Number: 24D2037322

Facility Name: ESSENTIA HEALTH EMERGENCY MEDICAL SERVICES SANDSTONE

Facility Address:
705 LUNDORFF DRIVE
SANDSTONE, MN
ZIP 55072
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Facility Phone Number: 320 245-6762

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1154852937

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	24D2037322
LAB Type	Ambulance
Facility Name	ESSENTIA HEALTH EMERGENCY MEDICAL SERVICES SANDSTONE
Street	705 LUNDORFF DRIVE
City	SANDSTONE
State	MN
ZIP	55072
Phone	320 245-6762
CertificateType	4
CertificateEffectiveDate	2/23/2024
CertificateExpirationDate	2/22/2026
FacilityType	Waiver

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