36D0712648 CLIA NUMBER - LIBERTY TOWNSHIP FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D0712648
  • Facility Name: LIBERTY TOWNSHIP FIRE DEPARTMENT
  • Facility Address: 7761 NORTH LIBERTY ROAD
    POWELL, OH
    ZIP 43065
  • Facility Phone: 740 938-2021
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BRIAN NIEMET
  • NPI Number: 1356906077
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D0712648
LAB Type Other
Facility Name LIBERTY TOWNSHIP FIRE DEPARTMENT
Street 7761 NORTH LIBERTY ROAD
City POWELL
State OH
ZIP 43065
Phone 740 938-2021
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 BRIAN NIEMET

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