36D1063484 CLIA NUMBER - FARMINGTON TWP VOLUNTEER FIRE DEPT

Laboratory Demographics

  • CLIA Code: 36D1063484
  • Facility Name: FARMINGTON TWP VOLUNTEER FIRE DEPT
  • Facility Address: 151 WEST COLLEGE STREET
    WEST FARMINGTON, OH
    ZIP 44491
  • Facility Phone: 330 889-3024
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RODNEY W. CLISBY
  • NPI Number: 1750501805
  • Taxonomy: 3416L0300X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Ambulance
Lab Director RODNEY W. CLISBY

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