43D1049682 CLIA NUMBER - VIBORG AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 43D1049682
  • Facility Name: VIBORG AMBULANCE SERVICE
  • Facility Address: 101 W SORENSEN STREET PO BOX 553
    VIBORG, SD
    ZIP 57070
  • Facility Phone: 605 326-5507
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GLORIA PETERSON
  • NPI Number: 1114956059
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1049682
LAB Type Ambulance
Facility Name VIBORG AMBULANCE SERVICE
Street 101 W SORENSEN STREET PO BOX 553
City VIBORG
State SD
ZIP 57070
Phone 605 326-5507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Ambulance
Lab Director GLORIA PETERSON

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