35D1022841 CLIA NUMBER - ASHLEY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 35D1022841
  • Facility Name: ASHLEY AMBULANCE SERVICE
  • Facility Address: 612 CENTER AVE N
    ASHLEY, ND
    ZIP 58413
  • Facility Phone: 701 288-3433
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: UDOM TINSA
  • NPI Number: 1104931815
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D1022841
LAB Type Ambulance
Facility Name ASHLEY AMBULANCE SERVICE
Street 612 CENTER AVE N
City ASHLEY
State ND
ZIP 58413
Phone 701 288-3433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Ambulance
Lab Director UDOM TINSA

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