07D2113910 CLIA NUMBER - AETNA AMBULANCE SERVICE, INC

Laboratory Demographics

  • CLIA Code: 07D2113910
  • Facility Name: AETNA AMBULANCE SERVICE, INC
  • Facility Address: 140 VAN BLOCK AVE
    HARTFORD, CT
    ZIP 06114
  • Facility Phone: (860) 647-9798
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATTHEW CAMPBELL
  • NPI Number: 1194842781
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 07D2113910
LAB Type Ambulance
Facility Name AETNA AMBULANCE SERVICE, INC
Street 140 VAN BLOCK AVE
City HARTFORD
State CT
ZIP 06114
Phone 8606479798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2026
Certificate Expiration Date 6/1/2028
Facility Type Ambulance
Lab Director MATTHEW CAMPBELL

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This page was last updated on: 6/29/2026