39D0925102 CLIA NUMBER - MCKEESPORT AMBULANCE RESCUE SERVICE

Laboratory Demographics

  • CLIA Code: 39D0925102
  • Facility Name: MCKEESPORT AMBULANCE RESCUE SERVICE
  • Facility Address: 1604 EVANS AVE
    MCKEESPORT, PA
    ZIP 15132
  • Facility Phone: 412 675-5076
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: WILLIAM R. MILLER
  • NPI Number: 1689684706
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D0925102
LAB Type Ambulance
Facility Name MCKEESPORT AMBULANCE RESCUE SERVICE
Street 1604 EVANS AVE
City MCKEESPORT
State PA
ZIP 15132
Phone 412 675-5076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Ambulance
Lab Director WILLIAM R. MILLER

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