35D2062535 CLIA NUMBER - CAVALIER AMBULANCE

Laboratory Demographics

  • CLIA Code: 35D2062535
  • Facility Name: CAVALIER AMBULANCE
  • Facility Address: 105 W 2ND AVE N
    CAVALIER, ND
    ZIP 58220
  • Facility Phone: 701 265-8259
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEREMY J. MATTISON
  • NPI Number: 1205962909
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D2062535
LAB Type Ambulance
Facility Name CAVALIER AMBULANCE
Street 105 W 2ND AVE N
City CAVALIER
State ND
ZIP 58220
Phone 701 265-8259
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Ambulance
Lab Director JEREMY J. MATTISON

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