35D2064953 CLIA NUMBER - COMMUNITY AMBULANCE SERVICE INC

Laboratory Demographics

  • CLIA Code: 35D2064953
  • Facility Name: COMMUNITY AMBULANCE SERVICE INC
  • Facility Address: 75 2ND AVE SE
    BEACH, ND
    ZIP 58621
  • Facility Phone: 701 872-6678
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JESSIKAY NOLL
  • NPI Number: 1780715532
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D2064953
LAB Type Ambulance
Facility Name COMMUNITY AMBULANCE SERVICE INC
Street 75 2ND AVE SE
City BEACH
State ND
ZIP 58621
Phone 701 872-6678
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2023
Certificate Expiration Date 8/28/2025
Facility Type Ambulance
Lab Director JESSIKAY NOLL

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This page was last updated on: 3/20/2025