43D1049685 CLIA NUMBER - STANDING ROCK AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 43D1049685
  • Facility Name: STANDING ROCK AMBULANCE SERVICE
  • Facility Address: 401 1ST STREET WEST
    MCLAUGHLIN, SD
    ZIP 57642
  • Facility Phone: 701 854-3452
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DEAN PEGORS
  • NPI Number: 1295824852
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1049685
LAB Type Ambulance
Facility Name STANDING ROCK AMBULANCE SERVICE
Street 401 1ST STREET WEST
City MCLAUGHLIN
State SD
ZIP 57642
Phone 701 854-3452
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 DEAN PEGORS

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