33D1098145 CLIA NUMBER - OLD ERIE EMERGENCY SERVICES INC DBA JORDAN AMBULANCE

Laboratory Demographics

CLIA Number: 33D1098145

Facility Name: OLD ERIE EMERGENCY SERVICES INC DBA JORDAN AMBULANCE

Facility Address:
1 N HAMILTON STREET
JORDAN, NY
ZIP 13080
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Facility Phone Number: 315 689-3923

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1205103645

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	33D1098145
LAB Type	Ambulance
Facility Name	OLD ERIE EMERGENCY SERVICES INC DBA JORDAN AMBULANCE
Street	1 N HAMILTON STREET
City	JORDAN
State	NY
ZIP	13080
Phone	315 689-3923
CertificateType	4
CertificateEffectiveDate	2/27/2017
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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