39D0912181 CLIA NUMBER - EMLENTON AREA AMBULANCE

Laboratory Demographics

  • CLIA Code: 39D0912181
  • Facility Name: EMLENTON AREA AMBULANCE
  • Facility Address: 511 MIAIN ST P O BOX 346
    EMLENTON, PA
    ZIP 16373
  • Facility Phone: 724 867-1191
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ETHAN C. TUSTIN
  • NPI Number: 1770561896
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D0912181
LAB Type Other
Facility Name EMLENTON AREA AMBULANCE
Street 511 MIAIN ST P O BOX 346
City EMLENTON
State PA
ZIP 16373
Phone 724 867-1191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Other
Lab Director ETHAN C. TUSTIN

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