39D1064594 CLIA NUMBER - MED VAN TRANSPORT

Laboratory Demographics

  • CLIA Code: 39D1064594
  • Facility Name: MED VAN TRANSPORT
  • Facility Address: 1311 PHILADELPHIA AVENUE
    NORTHERN CAMBRIA, PA
    ZIP 15714
  • Facility Phone: 814 948-6170
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LOUIS G. MONBOURNE
  • NPI Number: 1205826476
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 39D1064594
LAB Type Ambulance
Facility Name MED VAN TRANSPORT
Street 1311 PHILADELPHIA AVENUE
City NORTHERN CAMBRIA
State PA
ZIP 15714
Phone 814 948-6170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Ambulance
Lab Director LOUIS G. MONBOURNE

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This page was last updated on: 3/20/2025