35D2002726 CLIA NUMBER - BERTHOLD AMBULANCE

Laboratory Demographics

  • CLIA Code: 35D2002726
  • Facility Name: BERTHOLD AMBULANCE
  • Facility Address: 15 3RD AVE
    BERTHOLD, ND
    ZIP 58718
  • Facility Phone: 701 453-3621
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CLAYTON F. FEGLEY
  • NPI Number: 1871719914
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D2002726
LAB Type Ambulance
Facility Name BERTHOLD AMBULANCE
Street 15 3RD AVE
City BERTHOLD
State ND
ZIP 58718
Phone 701 453-3621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Ambulance
Lab Director CLAYTON F. FEGLEY

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