05D2170904 CLIA NUMBER - CLOVERDALE HEALTH CARE DISTRICT -AMBULANCE

Laboratory Demographics

CLIA Number: 05D2170904

Facility Name: CLOVERDALE HEALTH CARE DISTRICT -AMBULANCE

Facility Address:
209 NORTH MAIN STREET
CLOVERDALE, CA
ZIP 95425
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Facility Phone Number: (707) 894-5862

Facility Type: AMBULANCE

Certificate Type: Waiver

NPI Number: 1295886786

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	05D2170904
LAB Type	AMBULANCE
Facility Name	CLOVERDALE HEALTH CARE DISTRICT -AMBULANCE
Street	209 NORTH MAIN STREET
City	CLOVERDALE
State	CA
ZIP	95425
Phone	(707) 894-5862

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This page was last updated on: 5/11/2023