35D1092813 CLIA NUMBER - ROLETTE COMMUNITY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 35D1092813
  • Facility Name: ROLETTE COMMUNITY AMBULANCE SERVICE
  • Facility Address: 304 MAIN STREET
    ROLETTE, ND
    ZIP 58366
  • Facility Phone: 701 246-3531
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TAMERA B. TUENGE
  • NPI Number: 1497868061
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 35D1092813
LAB Type Ambulance
Facility Name ROLETTE COMMUNITY AMBULANCE SERVICE
Street 304 MAIN STREET
City ROLETTE
State ND
ZIP 58366
Phone 701 246-3531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Ambulance
Lab Director TAMERA B. TUENGE

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