36D0861744 CLIA NUMBER - MENTOR FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 36D0861744

Facility Name: MENTOR FIRE DEPARTMENT

Facility Address:
8467 CIVIC CENTER BLVD
MENTOR, OH
ZIP 44060
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Facility Phone Number: 216 974-5765

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1063570141

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	36D0861744
LAB Type	Mobile Laboratory
Facility Name	MENTOR FIRE DEPARTMENT
Street	8467 CIVIC CENTER BLVD
City	MENTOR
State	OH
ZIP	44060
Phone	216 974-5765
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