07D2116909 CLIA NUMBER - TOWN OF COVENTRY FIRE-EMS DEPARTMENT

Laboratory Demographics

  • CLIA Code: 07D2116909
  • Facility Name: TOWN OF COVENTRY FIRE-EMS DEPARTMENT
  • Facility Address: 1712 MAIN ST
    COVENTRY, CT
    ZIP 06238
  • Facility Phone: 860 531-2563
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BUD MEYERS
  • NPI Number: 1912446956
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 07D2116909
LAB Type Ambulance
Facility Name TOWN OF COVENTRY FIRE-EMS DEPARTMENT
Street 1712 MAIN ST
City COVENTRY
State CT
ZIP 06238
Phone 860 531-2563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Ambulance
Lab Director BUD MEYERS

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This page was last updated on: 9/29/2025