31D2322244 CLIA NUMBER - WASHINGTON TOWNSHIP AMBULANCE AND RESCUE ASSN

Laboratory Demographics

  • CLIA Code: 31D2322244
  • Facility Name: WASHINGTON TOWNSHIP AMBULANCE AND RESCUE ASSN
  • Facility Address: 4 WILLOW ST
    BLACKWOOD, NJ
    ZIP 08012
  • Facility Phone: 856 228-5995
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KENNETH LAVELLE
  • NPI Number: 1417088436
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 31D2322244
LAB Type Ambulance
Facility Name WASHINGTON TOWNSHIP AMBULANCE AND RESCUE ASSN
Street 4 WILLOW ST
City BLACKWOOD
State NJ
ZIP 08012
Phone 856 228-5995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Ambulance
Lab Director KENNETH LAVELLE

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