36D2110533 CLIA NUMBER - PERRY TOWNSHIP FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D2110533
  • Facility Name: PERRY TOWNSHIP FIRE DEPARTMENT
  • Facility Address: 3265 S STATE ST
    EAST LIBERTY, OH
    ZIP 43319
  • Facility Phone: 937 666-4404
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JESSICA GIBSON
  • NPI Number: 1518168046
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2110533
LAB Type Ambulance
Facility Name PERRY TOWNSHIP FIRE DEPARTMENT
Street 3265 S STATE ST
City EAST LIBERTY
State OH
ZIP 43319
Phone 937 666-4404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Ambulance
Lab Director JESSICA GIBSON

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