35D1011926 CLIA NUMBER - MOHALL AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 35D1011926
  • Facility Name: MOHALL AMBULANCE SERVICE
  • Facility Address: 104 CENTRAL AVE N
    MOHALL, ND
    ZIP 58761
  • Facility Phone: 701 756-6183
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JUSTINE E. HANSON
  • NPI Number: 1154411676
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D1011926
LAB Type Ambulance
Facility Name MOHALL AMBULANCE SERVICE
Street 104 CENTRAL AVE N
City MOHALL
State ND
ZIP 58761
Phone 701 756-6183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Ambulance
Lab Director JUSTINE E. HANSON

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