35D2091329 CLIA NUMBER - RIVERDALE AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 35D2091329
  • Facility Name: RIVERDALE AMBULANCE SERVICE
  • Facility Address: 301 DAKOTA AVE
    RIVERDALE, ND
    ZIP 58565
  • Facility Phone: 701 654-7466
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MAUREENA L. HOSKIN
  • NPI Number: 1861581779
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D2091329
LAB Type Ambulance
Facility Name RIVERDALE AMBULANCE SERVICE
Street 301 DAKOTA AVE
City RIVERDALE
State ND
ZIP 58565
Phone 701 654-7466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Ambulance
Lab Director MAUREENA L. HOSKIN

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