43D1049903 CLIA NUMBER - CUSTER AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 43D1049903

Facility Name: CUSTER AMBULANCE SERVICE

Facility Address:
30 S 3RD STREET PO BOX 847
CUSTER, SD
ZIP 57730
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Facility Phone Number: 605 673-3334

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1275623134

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	43D1049903
LAB Type	Ambulance
Facility Name	CUSTER AMBULANCE SERVICE
Street	30 S 3RD STREET PO BOX 847
City	CUSTER
State	SD
ZIP	57730
Phone	605 673-3334
CertificateType	4
CertificateEffectiveDate	1/20/2024
CertificateExpirationDate	1/19/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024