27D2102676 CLIA NUMBER - PHILLIPS COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 27D2102676
  • Facility Name: PHILLIPS COUNTY AMBULANCE SERVICE
  • Facility Address: 314 S 2ND AVE W
    MALTA, MT
    ZIP 59538
  • Facility Phone: 406 654-2336
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LORI A. ABRAHAMSON
  • NPI Number: 1699714352
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 27D2102676
LAB Type Ambulance
Facility Name PHILLIPS COUNTY AMBULANCE SERVICE
Street 314 S 2ND AVE W
City MALTA
State MT
ZIP 59538
Phone 406 654-2336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Ambulance
Lab Director LORI A. ABRAHAMSON

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