36D1036927 CLIA NUMBER - PLEASANT VALLEY JOINT FIRE DISTRICT

Laboratory Demographics

CLIA Number: 36D1036927

Facility Name: PLEASANT VALLEY JOINT FIRE DISTRICT

Facility Address:
650 WEST MAIN STREET
PLAIN CITY, OH
ZIP 43064
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Facility Phone Number: 614 873-4067

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1700815404

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	36D1036927
LAB Type	Ambulance
Facility Name	PLEASANT VALLEY JOINT FIRE DISTRICT
Street	650 WEST MAIN STREET
City	PLAIN CITY
State	OH
ZIP	43064
Phone	614 873-4067
CertificateType	4
CertificateEffectiveDate	2/11/2023
CertificateExpirationDate	2/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024