30D2199042 CLIA NUMBER - BARTLETT JACKSON AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 30D2199042
  • Facility Name: BARTLETT JACKSON AMBULANCE SERVICE
  • Facility Address: 90 US ROUTE 302
    GLEN, NH
    ZIP 03838
  • Facility Phone: 603 383-3651
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL MURNICK
  • NPI Number: 1639372303
  • Taxonomy: 341600000X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Ambulance
Lab Director MICHAEL MURNICK

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This page was last updated on: 9/29/2025