39D0961824 CLIA NUMBER - JOHN CARROLL AREA AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 39D0961824
  • Facility Name: JOHN CARROLL AREA AMBULANCE SERVICE
  • Facility Address: 239 NORTH MAIN STREET
    CARROLLTOWN, PA
    ZIP 15722
  • Facility Phone: 814 344-8933
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CODY M. WILLIAMS
  • NPI Number: 1396731584
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D0961824
LAB Type Practitioner Other
Facility Name JOHN CARROLL AREA AMBULANCE SERVICE
Street 239 NORTH MAIN STREET
City CARROLLTOWN
State PA
ZIP 15722
Phone 814 344-8933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Practitioner Other
Lab Director CODY M. WILLIAMS

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