43D1050487 CLIA NUMBER - LEMMON EMT ASSOCIATION

Laboratory Demographics

  • CLIA Code: 43D1050487
  • Facility Name: LEMMON EMT ASSOCIATION
  • Facility Address: 211 1ST AVENUE WEST PO BOX 3
    LEMMON, SD
    ZIP 57638
  • Facility Phone: 605 374-7617
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: NICOLE TENNANT
  • NPI Number: 1831294008
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1050487
LAB Type Ambulance
Facility Name LEMMON EMT ASSOCIATION
Street 211 1ST AVENUE WEST PO BOX 3
City LEMMON
State SD
ZIP 57638
Phone 605 374-7617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Ambulance
Lab Director NICOLE TENNANT

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