39D1022591 CLIA NUMBER - CITIZENS AMBULANCE SERVICE INC

Laboratory Demographics

CLIA Number: 39D1022591

Facility Name: CITIZENS AMBULANCE SERVICE INC

Facility Address:
805 HOSPITAL ROAD
INDIANA, PA
ZIP 15701
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Facility Phone Number: 724 349-5511

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1861407389

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	39D1022591
LAB Type	Ambulance
Facility Name	CITIZENS AMBULANCE SERVICE INC
Street	805 HOSPITAL ROAD
City	INDIANA
State	PA
ZIP	15701
Phone	724 349-5511
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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