35D1092243 CLIA NUMBER - GACKLE AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 35D1092243
  • Facility Name: GACKLE AMBULANCE SERVICE
  • Facility Address: 201 MAIN ST
    GACKLE, ND
    ZIP 58442
  • Facility Phone: 701 485-3238
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES A. OWEN
  • NPI Number: 1689751158
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D1092243
LAB Type Ambulance
Facility Name GACKLE AMBULANCE SERVICE
Street 201 MAIN ST
City GACKLE
State ND
ZIP 58442
Phone 701 485-3238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Ambulance
Lab Director JAMES A. OWEN

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