36D0869784 CLIA NUMBER - WEST LICKING FIRE DISTRICT

Laboratory Demographics

CLIA Number: 36D0869784

Facility Name: WEST LICKING FIRE DISTRICT

Facility Address:
851 EAST BROAD STREET
PATASKALA, OH
ZIP 43062
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Facility Phone Number: 740 927-8600

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1144597519

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	36D0869784
LAB Type	Other
Facility Name	WEST LICKING FIRE DISTRICT
Street	851 EAST BROAD STREET
City	PATASKALA
State	OH
ZIP	43062
Phone	740 927-8600
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