43D1049728 CLIA NUMBER - KEYSTONE AMBULANCE SERVICE INC

Laboratory Demographics

  • CLIA Code: 43D1049728
  • Facility Name: KEYSTONE AMBULANCE SERVICE INC
  • Facility Address: 915 HARNEY STREET PO BOX 175
    KEYSTONE, SD
    ZIP 57751
  • Facility Phone: 605 666-5033
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATT THOMPSON
  • NPI Number: 1437120359
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1049728
LAB Type Ambulance
Facility Name KEYSTONE AMBULANCE SERVICE INC
Street 915 HARNEY STREET PO BOX 175
City KEYSTONE
State SD
ZIP 57751
Phone 605 666-5033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Ambulance
Lab Director MATT THOMPSON

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