35D1036694 CLIA NUMBER - COMMUNITY AMBULANCE SERVICE - ROLLA

Laboratory Demographics

  • CLIA Code: 35D1036694
  • Facility Name: COMMUNITY AMBULANCE SERVICE - ROLLA
  • Facility Address: 217 5TH AVE NE
    ROLLA, ND
    ZIP 58367
  • Facility Phone: 701 477-8818
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. PITSCHNER
  • NPI Number: 1346318268
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D1036694
LAB Type Ambulance
Facility Name COMMUNITY AMBULANCE SERVICE - ROLLA
Street 217 5TH AVE NE
City ROLLA
State ND
ZIP 58367
Phone 701 477-8818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Ambulance
Lab Director MICHAEL T. PITSCHNER

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