36D0691045 CLIA NUMBER - SPENCERVILLE AMBULANCE SERVICE INC

Laboratory Demographics

  • CLIA Code: 36D0691045
  • Facility Name: SPENCERVILLE AMBULANCE SERVICE INC
  • Facility Address: 111 SOUTH PEARL STREET
    SPENCERVILLE, OH
    ZIP 45887
  • Facility Phone: 419 647-6369
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: VALERIE R. LINT DO
  • NPI Number: 1215088315
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D0691045
LAB Type Other
Facility Name SPENCERVILLE AMBULANCE SERVICE INC
Street 111 SOUTH PEARL STREET
City SPENCERVILLE
State OH
ZIP 45887
Phone 419 647-6369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director VALERIE R. LINT DO

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