36D1036927 CLIA NUMBER - PLEASANT VALLEY JOINT FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 36D1036927
  • Facility Name: PLEASANT VALLEY JOINT FIRE DISTRICT
  • Facility Address: 650 WEST MAIN STREET
    PLAIN CITY, OH
    ZIP 43064
  • Facility Phone: 614 873-4067
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROBERT C. FELLOWS
  • NPI Number: 1700815404
  • Taxonomy: 341600000X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Ambulance
Lab Director ROBERT C. FELLOWS

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