36D0917841 CLIA NUMBER - HOCKING COUNTY EMS

Laboratory Demographics

CLIA Number: 36D0917841

Facility Name: HOCKING COUNTY EMS

Facility Address:
609 STATE ROUTH 664 NORTH PO BOX 966
LOGAN, OH
ZIP 43138
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Facility Phone Number: 614 385-8569

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1184840076

Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

CLIA Record

Field Name	Field Value
CLIA Number	36D0917841
LAB Type	Other
Facility Name	HOCKING COUNTY EMS
Street	609 STATE ROUTH 664 NORTH PO BOX 966
City	LOGAN
State	OH
ZIP	43138
Phone	614 385-8569
CertificateType	4
CertificateEffectiveDate	7/29/2022
CertificateExpirationDate	7/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024