27D2102690 CLIA NUMBER - RUBY VALLEY EMS

Laboratory Demographics

  • CLIA Code: 27D2102690
  • Facility Name: RUBY VALLEY EMS
  • Facility Address: 204 E CROFOOT ST
    SHERIDAN, MT
    ZIP 59749
  • Facility Phone: (406) 842-5162
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KATHERINE TETRAULT
  • NPI Number: 1083710651
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 27D2102690
LAB Type Ambulance
Facility Name RUBY VALLEY EMS
Street 204 E CROFOOT ST
City SHERIDAN
State MT
ZIP 59749
Phone 4068425162
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 KATHERINE TETRAULT

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This page was last updated on: 5/18/2026