35D1011955 CLIA NUMBER - PARSHALL AMBULANCE

Laboratory Demographics

  • CLIA Code: 35D1011955
  • Facility Name: PARSHALL AMBULANCE
  • Facility Address: 116 1ST AVE NE
    PARSHALL, ND
    ZIP 58770
  • Facility Phone: 701 862-3752
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PENNY ESTVOLD
  • NPI Number: 1154579274
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 35D1011955
LAB Type Ambulance
Facility Name PARSHALL AMBULANCE
Street 116 1ST AVE NE
City PARSHALL
State ND
ZIP 58770
Phone 701 862-3752
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 PENNY ESTVOLD

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