36D2301242 CLIA NUMBER - HARRISON TOWNSHIP VOLUNTEER FIRE DEPT

Laboratory Demographics

  • CLIA Code: 36D2301242
  • Facility Name: HARRISON TOWNSHIP VOLUNTEER FIRE DEPT
  • Facility Address: 300 THIRD STREET PO BOX 167
    PHILO, OH
    ZIP 43771
  • Facility Phone: (740) 674-4325
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TERRY MOORE
  • NPI Number: 1194075192
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 36D2301242
LAB Type Ambulance
Facility Name HARRISON TOWNSHIP VOLUNTEER FIRE DEPT
Street 300 THIRD STREET PO BOX 167
City PHILO
State OH
ZIP 43771
Phone 7406744325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2026
Certificate Expiration Date 3/21/2028
Facility Type Ambulance
Lab Director TERRY MOORE

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This page was last updated on: 5/18/2026