43D1049903 CLIA NUMBER - CUSTER AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 43D1049903
  • Facility Name: CUSTER AMBULANCE SERVICE
  • Facility Address: 30 S 3RD STREET PO BOX 847
    CUSTER, SD
    ZIP 57730
  • Facility Phone: 605 673-3334
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: HAPSIE NUTLEY
  • NPI Number: 1275623134
  • Taxonomy: 341600000X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Ambulance
Lab Director HAPSIE NUTLEY

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