36D0887793 CLIA NUMBER - RANDOLPH VOL FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D0887793
  • Facility Name: RANDOLPH VOL FIRE DEPARTMENT
  • Facility Address: 1639 STATE ROUTE 44 PO BOX 190
    RANDOLPH, OH
    ZIP 44265
  • Facility Phone: 330 325-1904
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DIANE L. BUNKER
  • NPI Number: 1851536650
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D0887793
LAB Type Mobile Laboratory
Facility Name RANDOLPH VOL FIRE DEPARTMENT
Street 1639 STATE ROUTE 44 PO BOX 190
City RANDOLPH
State OH
ZIP 44265
Phone 330 325-1904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Mobile Laboratory
Lab Director DIANE L. BUNKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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