35D1085638 CLIA NUMBER - MOTT AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 35D1085638
  • Facility Name: MOTT AMBULANCE SERVICE
  • Facility Address: 301 5TH ST E
    MOTT, ND
    ZIP 58646
  • Facility Phone: 701 824-2410
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. JOSHUA RANUM
  • NPI Number: 1265582092
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D1085638
LAB Type Ambulance
Facility Name MOTT AMBULANCE SERVICE
Street 301 5TH ST E
City MOTT
State ND
ZIP 58646
Phone 701 824-2410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Ambulance
Lab Director DR. JOSHUA RANUM

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