36D1075568 CLIA NUMBER - APPLE CREEK, EAST UNION TWP FIRE DEPT

Laboratory Demographics

  • CLIA Code: 36D1075568
  • Facility Name: APPLE CREEK, EAST UNION TWP FIRE DEPT
  • Facility Address: 3400 SOUTH APPLE CREEK ROAD
    APPLE CREEK, OH
    ZIP 44606
  • Facility Phone: 330 698-1371
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JARED S. DURSTINE
  • NPI Number: 1558307652
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D1075568
LAB Type Ambulance
Facility Name APPLE CREEK, EAST UNION TWP FIRE DEPT
Street 3400 SOUTH APPLE CREEK ROAD
City APPLE CREEK
State OH
ZIP 44606
Phone 330 698-1371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Ambulance
Lab Director JARED S. DURSTINE

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