43D1049840 CLIA NUMBER - PLANKINTON AMBULANCE ASSN

Laboratory Demographics

  • CLIA Code: 43D1049840
  • Facility Name: PLANKINTON AMBULANCE ASSN
  • Facility Address: 305 N MAIN STREET PO BOX 112
    PLANKINTON, SD
    ZIP 57368
  • Facility Phone: 605 680-5615
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEFFERY BRIGGS
  • NPI Number: 1679618219
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1049840
LAB Type Ambulance
Facility Name PLANKINTON AMBULANCE ASSN
Street 305 N MAIN STREET PO BOX 112
City PLANKINTON
State SD
ZIP 57368
Phone 605 680-5615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Ambulance
Lab Director JEFFERY BRIGGS

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