36D0903649 CLIA NUMBER - NORTH BALTIMORE EMERGENCY MEDICAL SERVICE

Laboratory Demographics

  • CLIA Code: 36D0903649
  • Facility Name: NORTH BALTIMORE EMERGENCY MEDICAL SERVICE
  • Facility Address: 205 N MAIN STREET
    NORTH BALTIMORE, OH
    ZIP 45872
  • Facility Phone: 419 257-2394
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MATTHEW WHITE
  • NPI Number: 1821231374
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 36D0903649
LAB Type Other
Facility Name NORTH BALTIMORE EMERGENCY MEDICAL SERVICE
Street 205 N MAIN STREET
City NORTH BALTIMORE
State OH
ZIP 45872
Phone 419 257-2394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Other
Lab Director MATTHEW WHITE

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