43D2092925 CLIA NUMBER - BROOKINGS AMBULANCE SERVICE

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Laboratory Demographics

CLIA Number: 43D2092925

Facility Name: BROOKINGS AMBULANCE SERVICE

Facility Address:
2300 YORKSHIRE DRIVE
BROOKINGS, SD
ZIP 57006
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Facility Phone Number: 605 696-8079

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1902123581

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	43D2092925
LAB Type	Ambulance
Facility Name	BROOKINGS AMBULANCE SERVICE
Street	2300 YORKSHIRE DRIVE
City	BROOKINGS
State	SD
ZIP	57006
Phone	605 696-8079
CertificateType	4
CertificateEffectiveDate	3/17/2023
CertificateExpirationDate	3/16/2025
FacilityType	Waiver

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