52D0994237 CLIA NUMBER - FLAMBEAU HOSPITAL AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 52D0994237

Facility Name: FLAMBEAU HOSPITAL AMBULANCE SERVICE

Facility Address:
98 SHERRY AVE
PARK FALLS, WI
ZIP 54552
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Facility Phone Number: 715 762-2484

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1962869602

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	52D0994237
LAB Type	Ambulance
Facility Name	FLAMBEAU HOSPITAL AMBULANCE SERVICE
Street	98 SHERRY AVE
City	PARK FALLS
State	WI
ZIP	54552
Phone	715 762-2484
CertificateType	4
CertificateEffectiveDate	12/10/2023
CertificateExpirationDate	12/9/2025
FacilityType	Waiver

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