36D1010838 CLIA NUMBER - SANDY CREEK JOINT FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 36D1010838
  • Facility Name: SANDY CREEK JOINT FIRE DISTRICT
  • Facility Address: 505 E LINCOLN WAY STATION 1
    MINERVA, OH
    ZIP 44657
  • Facility Phone: 330 868-5193
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: THOMAS G. MARCINKOWEY
  • NPI Number: 1700143542
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D1010838
LAB Type Ambulance
Facility Name SANDY CREEK JOINT FIRE DISTRICT
Street 505 E LINCOLN WAY STATION 1
City MINERVA
State OH
ZIP 44657
Phone 330 868-5193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Ambulance
Lab Director THOMAS G. MARCINKOWEY

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