36D2153124 CLIA NUMBER - RIPLEY LIFE SQUAD, INC

Laboratory Demographics

  • CLIA Code: 36D2153124
  • Facility Name: RIPLEY LIFE SQUAD, INC
  • Facility Address: 799 S 2ND ST
    RIPLEY, OH
    ZIP 45167
  • Facility Phone: 937 392-4900
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CRAIG R. HAUKE
  • NPI Number: 1841290087
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2153124
LAB Type Ambulance
Facility Name RIPLEY LIFE SQUAD, INC
Street 799 S 2ND ST
City RIPLEY
State OH
ZIP 45167
Phone 937 392-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Ambulance
Lab Director CRAIG R. HAUKE

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