39D0912962 CLIA NUMBER - PENNDEL-MIDDLETOWN EMERGENCY SQUAD

Laboratory Demographics

CLIA Number: 39D0912962

Facility Name: PENNDEL-MIDDLETOWN EMERGENCY SQUAD

Facility Address:
616 EAST LINCOLN HIGHWAY
LANGHORNE, PA
ZIP 19047
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Facility Phone Number: 215 757-2663

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1619052792

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D0912962
LAB Type	Other
Facility Name	PENNDEL-MIDDLETOWN EMERGENCY SQUAD
Street	616 EAST LINCOLN HIGHWAY
City	LANGHORNE
State	PA
ZIP	19047
Phone	215 757-2663
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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