36D2293824 CLIA NUMBER - PEBBLE TOWNSHIP VOLUNTEER FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 36D2293824
  • Facility Name: PEBBLE TOWNSHIP VOLUNTEER FIRE DEPARTMENT
  • Facility Address: 330 CARL PENN RD
    WAVERLY, OH
    ZIP 45690
  • Facility Phone: 740 947-7000
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: THOMAS D. OYER
  • NPI Number: 1760185888
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2293824
LAB Type Ambulance
Facility Name PEBBLE TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Street 330 CARL PENN RD
City WAVERLY
State OH
ZIP 45690
Phone 740 947-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Ambulance
Lab Director THOMAS D. OYER

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