37D0913446 CLIA NUMBER - MEDFORD AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 37D0913446

Facility Name: MEDFORD AMBULANCE SERVICE

Facility Address:
123 S MAIN
MEDFORD, OK
ZIP 73759
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Facility Phone Number: 580 395-2823

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1336142371

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	37D0913446
LAB Type	Other
Facility Name	MEDFORD AMBULANCE SERVICE
Street	123 S MAIN
City	MEDFORD
State	OK
ZIP	73759
Phone	580 395-2823
CertificateType	4
CertificateEffectiveDate	4/2/2024
CertificateExpirationDate	4/1/2026
FacilityType	Waiver

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