39D0688305 CLIA NUMBER - MEDIC RESCUE

Laboratory Demographics

CLIA Number: 39D0688305

Facility Name: MEDIC RESCUE

Facility Address:
313 BRIDGE STREET
BEAVER, PA
ZIP 15009
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Facility Phone Number: 412 728-3621

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1528044690

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name Field Value
CLIA Number 39D0688305
LAB Type Other
Facility Name MEDIC RESCUE
Street 313 BRIDGE STREET
City BEAVER
State PA
ZIP 15009
Phone 412 728-3621
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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