27D2102226 CLIA NUMBER - NORTHERN CHEYENNE AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 27D2102226
  • Facility Name: NORTHERN CHEYENNE AMBULANCE SERVICE
  • Facility Address: 22 NORTH CHEYENNE AVENUE
    LAME DEER, MT
    ZIP 59043
  • Facility Phone: 406 477-4938
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ERNESTINE M. SPANG
  • NPI Number: 1972513638
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 27D2102226
LAB Type Ambulance
Facility Name NORTHERN CHEYENNE AMBULANCE SERVICE
Street 22 NORTH CHEYENNE AVENUE
City LAME DEER
State MT
ZIP 59043
Phone 406 477-4938
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Ambulance
Lab Director ERNESTINE M. SPANG

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