43D1049525 CLIA NUMBER - TIMBER LAKE AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 43D1049525
  • Facility Name: TIMBER LAKE AMBULANCE SERVICE
  • Facility Address: 700 MAIN STREET PO BOX 192
    TIMBER LAKE, SD
    ZIP 57656
  • Facility Phone: 605 865-3654
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHRIS K. HERMES
  • NPI Number: 1861674079
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 43D1049525
LAB Type Ambulance
Facility Name TIMBER LAKE AMBULANCE SERVICE
Street 700 MAIN STREET PO BOX 192
City TIMBER LAKE
State SD
ZIP 57656
Phone 605 865-3654
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 CHRIS K. HERMES

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