36D2158064 CLIA NUMBER - JEFFERSON TOWNSHIP EMS

Laboratory Demographics

  • CLIA Code: 36D2158064
  • Facility Name: JEFFERSON TOWNSHIP EMS
  • Facility Address: 28 S MAIN STREET
    JEFFERSONVILLE, OH
    ZIP 43128
  • Facility Phone: 740 426-6330
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LINDA BAILEY
  • NPI Number: 1659841575
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2158064
LAB Type Ambulance
Facility Name JEFFERSON TOWNSHIP EMS
Street 28 S MAIN STREET
City JEFFERSONVILLE
State OH
ZIP 43128
Phone 740 426-6330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Ambulance
Lab Director LINDA BAILEY

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