36D0999090 CLIA NUMBER - TRI DIVISION AMBULANCE

Laboratory Demographics

  • CLIA Code: 36D0999090
  • Facility Name: TRI DIVISION AMBULANCE
  • Facility Address: 9333 MAIN STREET
    EAST SPARTA, OH
    ZIP 44626
  • Facility Phone: 330 866-9523
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. CAUDILL EMS
  • NPI Number: 1619920030
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D0999090
LAB Type Ambulance
Facility Name TRI DIVISION AMBULANCE
Street 9333 MAIN STREET
City EAST SPARTA
State OH
ZIP 44626
Phone 330 866-9523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Ambulance
Lab Director MICHAEL A. CAUDILL EMS

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