36D1063484 CLIA NUMBER - FARMINGTON TWP VOLUNTEER FIRE DEPT

Laboratory Demographics

CLIA Number: 36D1063484

Facility Name: FARMINGTON TWP VOLUNTEER FIRE DEPT

Facility Address:
151 WEST COLLEGE STREET
WEST FARMINGTON, OH
ZIP 44491
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Facility Phone Number: 330 889-3024

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1750501805

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	36D1063484
LAB Type	Ambulance
Facility Name	FARMINGTON TWP VOLUNTEER FIRE DEPT
Street	151 WEST COLLEGE STREET
City	WEST FARMINGTON
State	OH
ZIP	44491
Phone	330 889-3024
CertificateType	4
CertificateEffectiveDate	1/16/2023
CertificateExpirationDate	1/15/2025
FacilityType	Waiver

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