30D0967894 CLIA NUMBER - ASHLAND FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 30D0967894

Facility Name: ASHLAND FIRE DEPARTMENT

Facility Address:
9 MAIN STREET
ASHLAND, NH
ZIP 03217
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Facility Phone Number: 603 968-7772

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1750383121

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	30D0967894
LAB Type	Ambulance
Facility Name	ASHLAND FIRE DEPARTMENT
Street	9 MAIN STREET
City	ASHLAND
State	NH
ZIP	03217
Phone	603 968-7772
CertificateType	4
CertificateEffectiveDate	11/29/2023
CertificateExpirationDate	11/28/2025
FacilityType	Waiver

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