36D0860629 CLIA NUMBER - APPLESEED JOINT AMB DISTRICT

Laboratory Demographics

CLIA Number: 36D0860629

Facility Name: APPLESEED JOINT AMB DISTRICT

Facility Address:
516 N MAIN STREET
ARLINGTON, OH
ZIP 45814
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Facility Phone Number: 419 326-4634

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1154457166

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 36D0860629
LAB Type Other
Facility Name APPLESEED JOINT AMB DISTRICT
Street 516 N MAIN STREET
City ARLINGTON
State OH
ZIP 45814
Phone 419 326-4634
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