43D1049518 CLIA NUMBER - BUTTE COUNTY AMBULANCE - BELLE FOURCHE DIVISION

Laboratory Demographics

  • CLIA Code: 43D1049518
  • Facility Name: BUTTE COUNTY AMBULANCE - BELLE FOURCHE DIVISION
  • Facility Address: 605 6TH AVENUE
    BELLE FOURCHE, SD
    ZIP 57717
  • Facility Phone: 605 892-2254
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MISTY PEAK
  • NPI Number: 1902873888
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1049518
LAB Type Ambulance
Facility Name BUTTE COUNTY AMBULANCE - BELLE FOURCHE DIVISION
Street 605 6TH AVENUE
City BELLE FOURCHE
State SD
ZIP 57717
Phone 605 892-2254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Ambulance
Lab Director MISTY PEAK

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