36D0948332 CLIA NUMBER - NORTH EAST AMBULANCE SERVICE INC

Laboratory Demographics

  • CLIA Code: 36D0948332
  • Facility Name: NORTH EAST AMBULANCE SERVICE INC
  • Facility Address: 4830 HARDING ROAD
    RAVENNA, OH
    ZIP 44266
  • Facility Phone: 330 296-4541
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KATHRYN L. BULGRIN DO
  • NPI Number: 1639235351
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 36D0948332
LAB Type Other
Facility Name NORTH EAST AMBULANCE SERVICE INC
Street 4830 HARDING ROAD
City RAVENNA
State OH
ZIP 44266
Phone 330 296-4541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Other
Lab Director KATHRYN L. BULGRIN DO

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