36D0917841 CLIA NUMBER - HOCKING COUNTY EMS

Laboratory Demographics

  • CLIA Code: 36D0917841
  • Facility Name: HOCKING COUNTY EMS
  • Facility Address: 609 STATE ROUTH 664 NORTH PO BOX 966
    LOGAN, OH
    ZIP 43138
  • Facility Phone: (614) 385-8569
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LARRY WILLARD
  • NPI Number: 1245346493
  • Taxonomy: 3416L0300X - Ambulance

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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 6143858569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Other
Lab Director LARRY WILLARD

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