36D1040314 CLIA NUMBER - PAINT CREEK JOINT EMS/FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 36D1040314
  • Facility Name: PAINT CREEK JOINT EMS/FIRE DISTRICT
  • Facility Address: 640 NORTH WASHINGTON STREET
    GREENFIELD, OH
    ZIP 45123
  • Facility Phone: 937 981-3394
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SUSAN MAYNARD
  • NPI Number: 1740518786
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D1040314
LAB Type Ambulance
Facility Name PAINT CREEK JOINT EMS/FIRE DISTRICT
Street 640 NORTH WASHINGTON STREET
City GREENFIELD
State OH
ZIP 45123
Phone 937 981-3394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Ambulance
Lab Director SUSAN MAYNARD

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