36D2167207 CLIA NUMBER - MID-COUNTY AMBULANCE DISTRICT

Laboratory Demographics

CLIA Number: 36D2167207

Facility Name: MID-COUNTY AMBULANCE DISTRICT

Facility Address:
13940 COUNTY HOME RD
BOWLING GREEN, OH
ZIP 43402
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Facility Phone Number: 419 352-6730

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1912442773

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	36D2167207
LAB Type	Ambulance
Facility Name	MID-COUNTY AMBULANCE DISTRICT
Street	13940 COUNTY HOME RD
City	BOWLING GREEN
State	OH
ZIP	43402
Phone	419 352-6730
CertificateType	4
CertificateEffectiveDate	6/4/2023
CertificateExpirationDate	6/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024