36D2123659 CLIA NUMBER - HENRY COUNTY SOUTH JOINT AMBULANCE DISTRICT

Laboratory Demographics

  • CLIA Code: 36D2123659
  • Facility Name: HENRY COUNTY SOUTH JOINT AMBULANCE DISTRICT
  • Facility Address: 625 EDGERTON STREET
    HAMLER, OH
    ZIP 43524
  • Facility Phone: 419 274-2055
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: SCOTT M. BUDDELMEYER
  • NPI Number: 1265624431
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2123659
LAB Type Ambulance
Facility Name HENRY COUNTY SOUTH JOINT AMBULANCE DISTRICT
Street 625 EDGERTON STREET
City HAMLER
State OH
ZIP 43524
Phone 419 274-2055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Ambulance
Lab Director SCOTT M. BUDDELMEYER

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