36D1096153 CLIA NUMBER - OHIO CITY FIRE & EMS

Laboratory Demographics

  • CLIA Code: 36D1096153
  • Facility Name: OHIO CITY FIRE & EMS
  • Facility Address: 103 SOUTH MAIN STREET
    OHIO CITY, OH
    ZIP 45874
  • Facility Phone: 419 965-2299
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: J MICHAEL NELSON DO
  • NPI Number: 1750370367
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D1096153
LAB Type Ambulance
Facility Name OHIO CITY FIRE & EMS
Street 103 SOUTH MAIN STREET
City OHIO CITY
State OH
ZIP 45874
Phone 419 965-2299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Ambulance
Lab Director J MICHAEL NELSON DO

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