30D2199042 CLIA NUMBER - BARTLETT JACKSON AMBULANCE SERVICE

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Laboratory Demographics

CLIA Number: 30D2199042

Facility Name: BARTLETT JACKSON AMBULANCE SERVICE

Facility Address:
90 US ROUTE 302
GLEN, NH
ZIP 03838
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Facility Phone Number: 603 383-3651

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1639372303

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	30D2199042
LAB Type	Ambulance
Facility Name	BARTLETT JACKSON AMBULANCE SERVICE
Street	90 US ROUTE 302
City	GLEN
State	NH
ZIP	03838
Phone	603 383-3651
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

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