36D0724691 CLIA NUMBER - ASHTABULA CO SOUTH CENTRAL AMBULANCE

Laboratory Demographics

  • CLIA Code: 36D0724691
  • Facility Name: ASHTABULA CO SOUTH CENTRAL AMBULANCE
  • Facility Address: 3162 US HIGHWAY 6
    ROME, OH
    ZIP 44085
  • Facility Phone: 216 563-5619
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: IRA J. UNGAR
  • NPI Number: 1699080911
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0724691
LAB Type Mobile Laboratory
Facility Name ASHTABULA CO SOUTH CENTRAL AMBULANCE
Street 3162 US HIGHWAY 6
City ROME
State OH
ZIP 44085
Phone 216 563-5619
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 Mobile Laboratory
Lab Director IRA J. UNGAR

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