27D2107889 CLIA NUMBER - AIR IDAHO RESCUE, WEST YELLOWSTONE

Laboratory Demographics

  • CLIA Code: 27D2107889
  • Facility Name: AIR IDAHO RESCUE, WEST YELLOWSTONE
  • Facility Address: 579 AIRPORT ROAD
    WEST YELLOWSTONE, MT
    ZIP 59758
  • Facility Phone: 402 540-1774
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TEATHER R. CAMPBELL
  • NPI Number: 1609287721
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 27D2107889
LAB Type Ambulance
Facility Name AIR IDAHO RESCUE, WEST YELLOWSTONE
Street 579 AIRPORT ROAD
City WEST YELLOWSTONE
State MT
ZIP 59758
Phone 402 540-1774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Ambulance
Lab Director TEATHER R. CAMPBELL

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