37D1045301 CLIA NUMBER - FREEDOM VOLUNTEER AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 37D1045301

Facility Name: FREEDOM VOLUNTEER AMBULANCE SERVICE

Facility Address:
504 MAIN STREET
FREEDOM, OK
ZIP 73842
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Facility Phone Number: 580 621-3302

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1174868673

Taxonomy: 146N00000X - Emergency Medical Technician, Basic
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

CLIA Record

Field Name	Field Value
CLIA Number	37D1045301
LAB Type	Ambulance
Facility Name	FREEDOM VOLUNTEER AMBULANCE SERVICE
Street	504 MAIN STREET
City	FREEDOM
State	OK
ZIP	73842
Phone	580 621-3302
CertificateType	4
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	Waiver

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