39D0912811 CLIA NUMBER - FAYETTE EMERGENCY MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 39D0912811

Facility Name: FAYETTE EMERGENCY MEDICAL SERVICES

Facility Address:
232 PITTSBURGH STREET SUITE B
CONNELLSVILLE, PA
ZIP 15425
Get Directions

Facility Phone Number: 412 628-8610

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1437226420

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D0912811
LAB Type	Mobile Laboratory
Facility Name	FAYETTE EMERGENCY MEDICAL SERVICES
Street	232 PITTSBURGH STREET SUITE B
City	CONNELLSVILLE
State	PA
ZIP	15425
Phone	412 628-8610
CertificateType	4
CertificateEffectiveDate	3/13/2024
CertificateExpirationDate	3/12/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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