43D1049614 CLIA NUMBER - CLARK COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 43D1049614
  • Facility Name: CLARK COUNTY AMBULANCE SERVICE
  • Facility Address: 100 S CLOUD STREET
    CLARK, SD
    ZIP 57225
  • Facility Phone: 605 532-5891
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JOHN DALLMANN
  • NPI Number: 1679570295
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1049614
LAB Type Ambulance
Facility Name CLARK COUNTY AMBULANCE SERVICE
Street 100 S CLOUD STREET
City CLARK
State SD
ZIP 57225
Phone 605 532-5891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Ambulance
Lab Director JOHN DALLMANN

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