27D2208985 CLIA NUMBER - POLSON AMBULANCE INC

Laboratory Demographics

  • CLIA Code: 27D2208985
  • Facility Name: POLSON AMBULANCE INC
  • Facility Address: 904 2ND ST E
    POLSON, MT
    ZIP 59860
  • Facility Phone: 406 883-5778
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GREG SHEUMAKER
  • NPI Number: 1558300228
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 27D2208985
LAB Type Ambulance
Facility Name POLSON AMBULANCE INC
Street 904 2ND ST E
City POLSON
State MT
ZIP 59860
Phone 406 883-5778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Ambulance
Lab Director GREG SHEUMAKER

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