36D0968399 CLIA NUMBER - QUAD AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 36D0968399
  • Facility Name: QUAD AMBULANCE DISTRICT
  • Facility Address: 6930 MINERVA ROAD
    WAYNESBURG, OH
    ZIP 44688
  • Facility Phone: 330 866-9847
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JIMMIE L. HERSTINE
  • NPI Number: 1518039676
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D0968399
LAB Type Ambulance
Facility Name QUAD AMBULANCE DISTRICT
Street 6930 MINERVA ROAD
City WAYNESBURG
State OH
ZIP 44688
Phone 330 866-9847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Ambulance
Lab Director JIMMIE L. HERSTINE

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