35D2318517 CLIA NUMBER - XWA 2024, LLC DBA WILLISTON CARE FLIGHT

Laboratory Demographics

  • CLIA Code: 35D2318517
  • Facility Name: XWA 2024, LLC DBA WILLISTON CARE FLIGHT
  • Facility Address: 14151 COMMERCE DRIVE
    WILLISTON, ND
    ZIP 58801
  • Facility Phone: 608 577-5698
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JACOB R. KELLER
  • NPI Number: 1013722339
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 35D2318517
LAB Type Ambulance
Facility Name XWA 2024, LLC DBA WILLISTON CARE FLIGHT
Street 14151 COMMERCE DRIVE
City WILLISTON
State ND
ZIP 58801
Phone 608 577-5698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Ambulance
Lab Director JACOB R. KELLER

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