36D1058303 CLIA NUMBER - MADISON FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 36D1058303
  • Facility Name: MADISON FIRE DISTRICT
  • Facility Address: 840 RIVER ST
    MADISON, OH
    ZIP 44057
  • Facility Phone: 440 428-1522
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ANDREW GARLISI
  • NPI Number: 1922295823
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D1058303
LAB Type Ambulance
Facility Name MADISON FIRE DISTRICT
Street 840 RIVER ST
City MADISON
State OH
ZIP 44057
Phone 440 428-1522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Ambulance
Lab Director ANDREW GARLISI

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