39D0984612 CLIA NUMBER - LONGWOOD FIRE COMPANY

Laboratory Demographics

CLIA Number: 39D0984612

Facility Name: LONGWOOD FIRE COMPANY

Facility Address:
1001 EAST BALTIMORE PIKE
KENNETT SQUARE, PA
ZIP 19348
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Facility Phone Number: 610 388-6880

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1023045481

Taxonomy: 3416L0300X - Ambulance

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
CertificateType	4
CertificateEffectiveDate	3/26/2023
CertificateExpirationDate	3/25/2025
FacilityType	Waiver

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