35D2125986 CLIA NUMBER - BOTTINEAU AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 35D2125986
  • Facility Name: BOTTINEAU AMBULANCE SERVICE
  • Facility Address: 323 BENNETT ST
    BOTTINEAU, ND
    ZIP 58318
  • Facility Phone: 701 228-6901
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KOLENA A. DRADER
  • NPI Number: 1699817270
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D2125986
LAB Type Ambulance
Facility Name BOTTINEAU AMBULANCE SERVICE
Street 323 BENNETT ST
City BOTTINEAU
State ND
ZIP 58318
Phone 701 228-6901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Ambulance
Lab Director KOLENA A. DRADER

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