36D2109258 CLIA NUMBER - MINERAL-SANDY JOINT AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 36D2109258
  • Facility Name: MINERAL-SANDY JOINT AMBULANCE DISTRICT
  • Facility Address: 8495 SOUTH HIGH ST
    MINERAL CITY, OH
    ZIP 44656
  • Facility Phone: 330 859-2402
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DEBRA K. WINE
  • NPI Number: 1336251933
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2109258
LAB Type Ambulance
Facility Name MINERAL-SANDY JOINT AMBULANCE DISTRICT
Street 8495 SOUTH HIGH ST
City MINERAL CITY
State OH
ZIP 44656
Phone 330 859-2402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Ambulance
Lab Director DEBRA K. WINE

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