35D2134514 CLIA NUMBER - DIVIDE COUNTY AMBULANCE

Laboratory Demographics

  • CLIA Code: 35D2134514
  • Facility Name: DIVIDE COUNTY AMBULANCE
  • Facility Address: 701 1ST ST SW
    CROSBY, ND
    ZIP 58730
  • Facility Phone: 701 721-5454
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TIMOTHY SWANSON
  • NPI Number: 1902012404
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D2134514
LAB Type Ambulance
Facility Name DIVIDE COUNTY AMBULANCE
Street 701 1ST ST SW
City CROSBY
State ND
ZIP 58730
Phone 701 721-5454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Ambulance
Lab Director TIMOTHY SWANSON

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