36D0973160 CLIA NUMBER - NORTH LAWRENCE VOLUNTEER FIRE DEPT

Laboratory Demographics

  • CLIA Code: 36D0973160
  • Facility Name: NORTH LAWRENCE VOLUNTEER FIRE DEPT
  • Facility Address: 4052 ALABAMA AVENUE NW
    NORTH LAWRENCE, OH
    ZIP 44666
  • Facility Phone: 330 832-6347
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RICHARD MORTLAND
  • NPI Number: 1982614129
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D0973160
LAB Type Ambulance
Facility Name NORTH LAWRENCE VOLUNTEER FIRE DEPT
Street 4052 ALABAMA AVENUE NW
City NORTH LAWRENCE
State OH
ZIP 44666
Phone 330 832-6347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Ambulance
Lab Director RICHARD MORTLAND

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