10D0893194 CLIA NUMBER - AMBITRANS MEDICAL TRANSPORT INC

Laboratory Demographics

CLIA Number: 10D0893194

Facility Name: AMBITRANS MEDICAL TRANSPORT INC

Facility Address:
4351 PINNACLE ST
PORT CHARLOTTE, FL
ZIP 33980
Get Directions

Facility Phone Number: 941 743-3665

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1255376497

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	10D0893194
LAB Type	Other
Facility Name	AMBITRANS MEDICAL TRANSPORT INC
Street	4351 PINNACLE ST
City	PORT CHARLOTTE
State	FL
ZIP	33980
Phone	941 743-3665
CertificateType	4
CertificateEffectiveDate	10/17/2022
CertificateExpirationDate	10/16/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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