07D2113197 CLIA NUMBER - MANCHESTER FIRE RESCUE EMS

Laboratory Demographics

CLIA Number: 07D2113197

Facility Name: MANCHESTER FIRE RESCUE EMS

Facility Address:
75 CENTER ST
MANCHESTER, CT
ZIP 06040
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Facility Phone Number: 860 647-3266

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1720119894

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	07D2113197
LAB Type	Ambulance
Facility Name	MANCHESTER FIRE RESCUE EMS
Street	75 CENTER ST
City	MANCHESTER
State	CT
ZIP	06040
Phone	860 647-3266
CertificateType	4
CertificateEffectiveDate	5/17/2022
CertificateExpirationDate	5/16/2024
FacilityType	Waiver

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