36D2017122 CLIA NUMBER - JACKSON COUNTY EMS HQ STATION

Laboratory Demographics

  • CLIA Code: 36D2017122
  • Facility Name: JACKSON COUNTY EMS HQ STATION
  • Facility Address: 260 PATTONSVILLE ROAD
    JACKSON, OH
    ZIP 45640
  • Facility Phone: 740 288-7120
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHRIS L. JOHNSON
  • NPI Number: 1851601132
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2017122
LAB Type Ambulance
Facility Name JACKSON COUNTY EMS HQ STATION
Street 260 PATTONSVILLE ROAD
City JACKSON
State OH
ZIP 45640
Phone 740 288-7120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Ambulance
Lab Director CHRIS L. JOHNSON

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