36D0697929 CLIA NUMBER - PMP JOINT AMBULANCE DISTRICT

Laboratory Demographics

CLIA Number: 36D0697929

Facility Name: PMP JOINT AMBULANCE DISTRICT

Facility Address:
139 W MAIN
MCCOMB, OH
ZIP 45858
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Facility Phone Number: 419 293-3938

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1528045028

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	36D0697929
LAB Type	Mobile Laboratory
Facility Name	PMP JOINT AMBULANCE DISTRICT
Street	139 W MAIN
City	MCCOMB
State	OH
ZIP	45858
Phone	419 293-3938
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