36D0974245 CLIA NUMBER - PERRY TOWNSHIP FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 36D0974245

Facility Name: PERRY TOWNSHIP FIRE DEPARTMENT

Facility Address:
440 CANFORD AVE NW
MASSILLON, OH
ZIP 44646
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Facility Phone Number: 330 833-3865

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1801924055

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	36D0974245
LAB Type	Ambulance
Facility Name	PERRY TOWNSHIP FIRE DEPARTMENT
Street	440 CANFORD AVE NW
City	MASSILLON
State	OH
ZIP	44646
Phone	330 833-3865
CertificateType	4
CertificateEffectiveDate	6/1/2022
CertificateExpirationDate	5/31/2024
FacilityType	Waiver

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