36D0984902 CLIA NUMBER - JEFFERSON TWP FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D0984902
  • Facility Name: JEFFERSON TWP FIRE DEPARTMENT
  • Facility Address: 745 WEST MAIN STREET
    WEST JEFFERSON, OH
    ZIP 43162
  • Facility Phone: 614 879-8265
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KENNY GREEN
  • NPI Number: 1578701983
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 36D0984902
LAB Type Ambulance
Facility Name JEFFERSON TWP FIRE DEPARTMENT
Street 745 WEST MAIN STREET
City WEST JEFFERSON
State OH
ZIP 43162
Phone 614 879-8265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Ambulance
Lab Director KENNY GREEN

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