36D0869784 CLIA NUMBER - WEST LICKING FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 36D0869784
  • Facility Name: WEST LICKING FIRE DISTRICT
  • Facility Address: 851 EAST BROAD STREET
    PATASKALA, OH
    ZIP 43062
  • Facility Phone: (740) 927-8600
  • Facility Type: Other - FIRE DEPT
  • Facility Type: Waiver
  • Lab Director: GINGER WORTMAN
  • NPI Number: 1144597519
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D0869784
LAB Type Other - FIRE DEPT
Facility Name WEST LICKING FIRE DISTRICT
Street 851 EAST BROAD STREET
City PATASKALA
State OH
ZIP 43062
Phone 7409278600
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 - FIRE DEPT
Lab Director GINGER WORTMAN

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This page was last updated on: 5/18/2026