35D1089121 CLIA NUMBER - MADDOCK AMBULANCE

Laboratory Demographics

  • CLIA Code: 35D1089121
  • Facility Name: MADDOCK AMBULANCE
  • Facility Address: 307 2ND ST
    MADDOCK, ND
    ZIP 58348
  • Facility Phone: (701) 320-0929
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MARGARET M. OLSON
  • NPI Number: 1760539100
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D1089121
LAB Type Ambulance
Facility Name MADDOCK AMBULANCE
Street 307 2ND ST
City MADDOCK
State ND
ZIP 58348
Phone 7013200929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Ambulance
Lab Director MARGARET M. OLSON

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This page was last updated on: 5/18/2026