43D1049618 CLIA NUMBER - WALL AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 43D1049618
  • Facility Name: WALL AMBULANCE SERVICE
  • Facility Address: 210 2ND AVENUE PO BOX 336
    WALL, SD
    ZIP 57790
  • Facility Phone: 605 279-2620
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LAURA ANDERSON
  • NPI Number: 1689914178
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1049618
LAB Type Ambulance
Facility Name WALL AMBULANCE SERVICE
Street 210 2ND AVENUE PO BOX 336
City WALL
State SD
ZIP 57790
Phone 605 279-2620
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 LAURA ANDERSON

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