36D0692208 CLIA NUMBER - NEWBURY VOLUNTEER FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 36D0692208

Facility Name: NEWBURY VOLUNTEER FIRE DEPARTMENT

Facility Address:
11111 KINSMAN RD
NEWBURY, OH
ZIP 44065
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Facility Phone Number: 440 564-2261

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1811395981

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	36D0692208
LAB Type	Other
Facility Name	NEWBURY VOLUNTEER FIRE DEPARTMENT
Street	11111 KINSMAN RD
City	NEWBURY
State	OH
ZIP	44065
Phone	440 564-2261
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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