36D1014451 CLIA NUMBER - TRI VALLEY FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 36D1014451
  • Facility Name: TRI VALLEY FIRE DISTRICT
  • Facility Address: 2568 SANDUSKY STREET
    ZANESFIELD, OH
    ZIP 43360
  • Facility Phone: 937 599-3473
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SCOTT MACKEY
  • NPI Number: 1518096130
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D1014451
LAB Type Federally Qualified Health Center
Facility Name TRI VALLEY FIRE DISTRICT
Street 2568 SANDUSKY STREET
City ZANESFIELD
State OH
ZIP 43360
Phone 937 599-3473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Federally Qualified Health Center
Lab Director SCOTT MACKEY

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