27D2102696 CLIA NUMBER - BELT VOLUNTEER AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 27D2102696

Facility Name: BELT VOLUNTEER AMBULANCE SERVICE

Facility Address:
6 VALLEY DRIVE
BELT, MT
ZIP 59412
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Facility Phone Number: 406 788-0752

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1033341318

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	27D2102696
LAB Type	Ambulance
Facility Name	BELT VOLUNTEER AMBULANCE SERVICE
Street	6 VALLEY DRIVE
City	BELT
State	MT
ZIP	59412
Phone	406 788-0752
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

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