36D1022174 CLIA NUMBER - RUSHCREEK TOWNSHIP FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D1022174
  • Facility Name: RUSHCREEK TOWNSHIP FIRE DEPARTMENT
  • Facility Address: 108 SOUTH SANDUSKY
    RUSHSYLVANIA, OH
    ZIP 43347
  • Facility Phone: 937 468-2740
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DEBBIE ROBERTS
  • NPI Number: 1093866758
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D1022174
LAB Type Federally Qualified Health Center
Facility Name RUSHCREEK TOWNSHIP FIRE DEPARTMENT
Street 108 SOUTH SANDUSKY
City RUSHSYLVANIA
State OH
ZIP 43347
Phone 937 468-2740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Federally Qualified Health Center
Lab Director DEBBIE ROBERTS

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