39D0984612 CLIA NUMBER - LONGWOOD FIRE COMPANY

Laboratory Demographics

  • CLIA Code: 39D0984612
  • Facility Name: LONGWOOD FIRE COMPANY
  • Facility Address: 1001 EAST BALTIMORE PIKE
    KENNETT SQUARE, PA
    ZIP 19348
  • Facility Phone: 610 388-6880
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. ANEESHA K. DHARGALKAR
  • NPI Number: 1023045481
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D0984612
LAB Type Ambulance
Facility Name LONGWOOD FIRE COMPANY
Street 1001 EAST BALTIMORE PIKE
City KENNETT SQUARE
State PA
ZIP 19348
Phone 610 388-6880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Ambulance
Lab Director DR. ANEESHA K. DHARGALKAR

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