19D1030382 CLIA NUMBER - CITY OF GONZALES FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 19D1030382

Facility Name: CITY OF GONZALES FIRE DEPARTMENT

Facility Address:
724 W ORICA ROTH
GONZALES, LA
ZIP 70737
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Facility Phone Number: 225 644-5307

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1598886939

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	19D1030382
LAB Type	Ambulance
Facility Name	CITY OF GONZALES FIRE DEPARTMENT
Street	724 W ORICA ROTH
City	GONZALES
State	LA
ZIP	70737
Phone	225 644-5307
CertificateType	4
CertificateEffectiveDate	9/3/2022
CertificateExpirationDate	9/2/2024
FacilityType	Waiver

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