43D1050731 CLIA NUMBER - PHILIP AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 43D1050731
  • Facility Name: PHILIP AMBULANCE SERVICE
  • Facility Address: 100 EAST OAK STREET PO BOX 395
    PHILIP, SD
    ZIP 57567
  • Facility Phone: 605 859-2424
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DON WELLER
  • NPI Number: 1861527210
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1050731
LAB Type Ambulance
Facility Name PHILIP AMBULANCE SERVICE
Street 100 EAST OAK STREET PO BOX 395
City PHILIP
State SD
ZIP 57567
Phone 605 859-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Ambulance
Lab Director DON WELLER

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