43D1082002 CLIA NUMBER - BONESTEEL AMBULANCE

Laboratory Demographics

  • CLIA Code: 43D1082002
  • Facility Name: BONESTEEL AMBULANCE
  • Facility Address: 300 MELLETTE STREET PO BOX 95
    BONESTEEL, SD
    ZIP 57317
  • Facility Phone: 605 654-2600
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEFF PISTULKA
  • NPI Number: 1013104751
  • Taxonomy: 146N00000X - Emergency Medical Technician, Basic

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CLIA Record

Field Name Field Value
CLIA Number 43D1082002
LAB Type Ambulance
Facility Name BONESTEEL AMBULANCE
Street 300 MELLETTE STREET PO BOX 95
City BONESTEEL
State SD
ZIP 57317
Phone 605 654-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Ambulance
Lab Director JEFF PISTULKA

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