21D0982638 CLIA NUMBER - COUNTY MEDICAL TRANSPORT INC

Laboratory Demographics

CLIA Number: 21D0982638

Facility Name: COUNTY MEDICAL TRANSPORT INC

Facility Address:
15852 FALLING WATERS ROAD
WILLIAMSPORT, MD
ZIP 21795
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Facility Phone Number: 301 582-6131

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1760584957

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	21D0982638
LAB Type	Ambulance
Facility Name	COUNTY MEDICAL TRANSPORT INC
Street	15852 FALLING WATERS ROAD
City	WILLIAMSPORT
State	MD
ZIP	21795
Phone	301 582-6131
CertificateType	4
CertificateEffectiveDate	2/1/2023
CertificateExpirationDate	1/31/2025
FacilityType	Waiver

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